Individual
MR. BRENT D ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2213 N REYNOLDS RD STE 4, BRYANT, AR 72022-2501
(702) 738-4707
Mailing address
2213 N REYNOLDS RD STE 4, BRYANT, AR 72022-2501
(702) 738-4707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L040194
AR
Other
Enumeration date
02/13/2023
Last updated
03/14/2023
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