Individual
MRS. LILLIAN JOYCE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 2ND ST., DELL, AR 72426
(870) 564-2349
Mailing address
306 2ND ST., DELL, AR 72426
(870) 564-2349
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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