Individual
CASANDRA JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8105 SOPHIA DR, LITTLE ROCK, AR 72209-3344
(501) 398-9247
Mailing address
8105 SOPHIA DR, LITTLE ROCK, AR 72209-3344
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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