Individual
MRS. DEBORAH G. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2396 LAKEWOOD CIRCLE, CABOT, AR 72023
(501) 941-8220
Mailing address
2396 LAKEWOOD CIRCLE, CABOT, AR 72023
(501) 941-8220
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/21/2021
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