Individual
JULIE RENEE THYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3310
Mailing address
PO BOX 116, BEEBE, AR 72012-0116
(501) 288-2038
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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