Individual
TAMARA DANIELLE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
336 MOORE ST, PRESCOTT, AR 71857-2646
(870) 796-2911
Mailing address
336 MOORE ST, PRESCOTT, AR 71857-2646
(870) 796-2911
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R106034
AR
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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