Individual
LITTLE JOE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2702 AMHURST, MAGNOLIA, AR 71753-4216
(870) 949-5722
Mailing address
2702 AMHURST, MAGNOLIA, AR 71753-4216
(870) 949-5722
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
RCP-2545
AR
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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