Candace Jerry LMT, RN

NPI 1538449640 - Specialist - 174400000X

NPI Details
NPI 1538449640
Gender Female
Enumeration Date 08/19/2011
Last Updated 08/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
301 PETERSBURG RD
CROSSETT AR, 71635-3908, US
Phone (870) 304-2200
Fax
Business Location
301 PETERSBURG RD
CROSSETT AR, 71635-3908, US
Phone (870) 304-2200
Fax
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number 7322
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According to our database, Candace Jerry LMT, RN NPI is 1538449640, taxonomy code is 174400000X and license number is 7322, license state is located at Arkansas. Candace Jerry LMT, RN physically located at 301 Petersburg Rd, Crossett AR, 71635-3908. NPI Number Candace Jerry LMT, RN has the Individual type.

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1538449640 NPI number is provided on an as is basis without warranty of any kind. 1538449640 is maintained by the National Plan & Provider Enumeration System. The contents of Candace Jerry LMT, RN are for informational purposes only.