Individual
MRS. TAMRA RUTH MC MILLAN CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Mailing address
407 W LAKE ST, MANILA, AR 72442-8002
(870) 561-1011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
176888
AR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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