Individual
TANGO MARIE WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 MISSOURI, HELENA, AR 72342-3707
(870) 338-3363
(870) 338-3354
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L089429
AR
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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