Individual
LEDONNA GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE EXTENDER/RN
Contact information
Practice address
242 SHAKE RAG RD, CLINTON, AR 72031-6629
(501) 745-6644
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R072310
AR
Other
Enumeration date
09/29/2014
Last updated
09/30/2014
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