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Individual

MISS TINA A DAVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2200 FOOT ROOTS DRIVE, LITTLE ROCK, AR 72114
(501) 257-1000
Mailing address
10714 EXCALIBUR DR, LITTLE ROCK, AR 72209-8231
(501) 353-5721

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R74203
AR

Other

Enumeration date
09/11/2008
Last updated
09/11/2008
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