Search › Arkansas › 171M00000X
Latairricka07/11/198 Bolden
NPI 1508541004 · on the registry since 2023
Practice
- Address
- 103 S Avalon St
West Memphis, AR 72301 - Phone
- (870) 732-1878
- Fax
- (870) 702-7111
- Organisation at this address
- Crossroads Treatment Center Of West Memphis, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2023-06-21
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