Individual
MS. TRACY LYNN HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
206 LAKE ST, PARKIN, AR 72373
(870) 755-2737
(870) 755-2740
Mailing address
377 S COOPER ST, CHERRY VALLEY, AR 72324-8651
(870) 755-2737
(870) 755-2740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L47982
AR
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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