Individual
LATRYCE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCST
Contact information
Practice address
3417 GARDEN CLUB DR, BRYANT, AR 72022-5005
(501) 672-1902
Mailing address
3417 GARDEN CLUB DR, BRYANT, AR 72022-5005
(501) 672-1902
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
10063129
AR
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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