Individual
KANDYSE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6810 E BETHANY RD # 52, N LITTLE ROCK, AR 72117-3656
(501) 613-1991
Mailing address
6834 CANTRELL RD # 1359, LITTLE ROCK, AR 72207-4135
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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