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Individual

SHALISA DONNAY SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3021 S FIR ST APT 4, PINE BLUFF, AR 71603-5665
(479) 407-9101
Mailing address
6109 TIMBER RIDGE DR, PINE BLUFF, AR 71603-7713
(479) 407-9101

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AR014071701382
AR

Other

Enumeration date
09/28/2024
Last updated
09/28/2024
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