Individual
JONATHAN AHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
Mailing address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L049745
AR
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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