Individual
DANA K. BURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
891 CONNERLY RD, LAKE VILLAGE, AR 71653-6163
(870) 265-1301
Mailing address
891 CONNERLY RD, LAKE VILLAGE, AR 71653-6163
(870) 265-1301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
05059592081R
AR
376K00000X
Nurse's Aide
Primary
050595920816R
AR
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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