Individual
ROSSLYN LEANNE CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 N 1ST ST, JACKSONVILLE, AR 72076-1809
(501) 297-0109
Mailing address
1204 FERRELL DR, JACKSONVILLE, AR 72076-2823
(501) 297-0109
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AR014222801602
AR
Other
Enumeration date
03/25/2024
Last updated
04/04/2024
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