Individual
MS. GAYLE CONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 W 12TH ST, LITTLE ROCK, AR 72204-1509
(501) 666-7233
Mailing address
6425 W 12TH ST, LITTLE ROCK, AR 72204-1509
(501) 666-7233
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L059464
AR
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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