Search › Arkansas › 174400000X
Visa Avance, OTA
NPI 1215176466 · on the registry since 2009
Practice
- Address
- 1656 W Matthews Ave Apt 5
Jonesboro, AR 72401 - Phone
- (870) 995-4202
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas