Individual
HENRY LESTER BRERETON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST, CFA
Contact information
Practice address
224 W ERIE AVE, HARRISON, AR 72601-3539
(870) 741-8289
(870) 741-0308
Mailing address
224 W ERIE AVE, HARRISON, AR 72601-3539
(870) 741-8289
(870) 741-0308
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
108730
AR
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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