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Individual

SHANTE R PITTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8509 W MARKHAM ST # 56091, LITTLE ROCK, AR 72205-2432
(501) 680-2223
(501) 500-5732
Mailing address
PO BOX 56091, LITTLE ROCK, AR 72215-6091
(501) 680-2223
(501) 500-5732

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
12/22/2021
Last updated
12/22/2021
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