Individual
ALICIA JANELLE CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
502 RICHIE RD, CABOT, AR 72023-3309
(501) 941-0940
Mailing address
904 N LEMON ST, BEEBE, AR 72012-2730
(501) 286-3245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L050380
AR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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