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
Update your record
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