Individual
DONTISHIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 BRIGHT STAR RD, MINERAL SPRINGS, AR 71851-8924
(870) 557-8839
Mailing address
PO BOX 233, MINERAL SPRINGS, AR 71851-0233
(870) 557-8839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
AR
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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