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Organization

TRICHO RX

Active
Other names
Tricho Rx
Organization subpart
No

Provider details

NPI number
Authorized official
DWYKEIA SHANTWANA PARKER (PROSTHETIC ORTHOTIC PROVIDER)
(501) 575-0759
Entity
Organization

Contact information

Practice address
6834 CANTRELL RD STE 1454, LITTLE ROCK, AR 72207-4135
(501) 575-0759
(501) 663-6646
Mailing address
6834 CANTRELL RD STE 1454, LITTLE ROCK, AR 72207-4135
(501) 575-0759

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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