Individual
MISS MAKAYLA RAE DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
81 DEVELOPMENT DR., YELLVILLE, AR 72687
(870) 688-9812
Mailing address
81 DEVELOPMENT DR., YELLVILLE, AR 72687
(870) 688-9812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
212684
AR
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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