Individual
KAYLEIGH PROVENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 HONEY BEE LN, PARAGOULD, AR 72450-3840
(870) 316-3760
Mailing address
2720 HONEY BEE LN, PARAGOULD, AR 72450-3840
(870) 316-3760
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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