Individual
MELISSA JOANN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 DAVID ST, CORNING, AR 72422-7268
(870) 857-3655
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2000170567
MO
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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