Individual
LISA DARLENE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 HIGHWAY 25B, HEBER SPRINGS, AR 72543-1701
(501) 362-9426
(501) 362-9456
Mailing address
1511 HIGHWAY 25B, HEBER SPRINGS, AR 72543-1701
(501) 362-9426
(501) 362-9456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L49989
AR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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