Individual
PATRICIA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
7201 HIGHWAY 161 S, SCOTT, AR 72142-9182
(501) 961-9228
Mailing address
7201 HIGHWAY 161 S, SCOTT, AR 72142-9182
(501) 961-9228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L044836
AR
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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