Individual
LARECO WALKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1907 HWY 5 N APT 1010, BENTON, AR 72019-6733
(501) 313-9032
Mailing address
1907 HWY 5 N APT 1010, BENTON, AR 72019-6733
(501) 313-9032
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1234
AR
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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