SearchArkansas208000000X

Josephine Co

NPI 1679822944 · on the registry since 2012 · sole proprietor

Practice

Address
5 Menden Ln
Little Rock, AR 72223
Phone
(501) 821-0086

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-02

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