Individual
MRS. ANITA KAY BRACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 ROSEMARY LN, BLYTHEVILLE, AR 72315-1738
(870) 623-6222
(870) 763-1202
Mailing address
440 ROSEMARY LN, BLYTHEVILLE, AR 72315-1738
(870) 623-6222
(870) 763-1202
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
164582782783
AR
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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