Individual
KARLA TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 E 5TH AVE, PINE BLUFF, AR 71601-5205
(501) 295-3140
Mailing address
1502 E 5TH AVE, PINE BLUFF, AR 71601-5205
(501) 295-3140
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
902307502
AR
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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