Individual
MRS. AMANDA KAY STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
518 E FRONT ST, LONOKE, AR 72086-3262
(501) 676-2786
(501) 676-0697
Mailing address
PO BOX 980, LONOKE, AR 72086-0980
(501) 676-2786
(501) 676-0697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L33813
AR
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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