Individual
WAMETA TANYA S HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 SUGAR MAPLE LN, LITTLE ROCK, AR 72223-2161
(501) 508-3989
Mailing address
5 BOGEY LN APT 6, LITTLE ROCK, AR 72210-8947
(501) 502-8380
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1598372930
AR
374U00000X
Home Health Aide
—
AR
Other
Enumeration date
09/29/2020
Last updated
09/30/2020
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