Individual
MRS. LOIS ELAINE SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 EPPERSON DR, CABOT, AR 72023-2104
(501) 843-2854
Mailing address
102 EPPERSON DR, CABOT, AR 72023-2104
(501) 843-2854
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
973809
AR
Other
Enumeration date
09/16/2007
Last updated
09/16/2007
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