Individual
SUSAN LYNNE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
302 CENTER STREET, RISON, AR 71665
(870) 370-2303
Mailing address
302 CENTER ST, RISON, AR 71665-9530
(870) 370-2303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L34492
AR
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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