Individual
TRISTA TETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
557 POLK 72, MENA, AR 71953-7720
(479) 243-0490
Mailing address
PO BOX 485, MENA, AR 71953-0485
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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