Individual
MARY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 INTERSTATE 630, LITTLE ROCK, AR 72205-7202
(501) 202-1070
Mailing address
9601 INTERSTATE 630, LITTLE ROCK, AR 72205-7202
(501) 202-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R71598
AR
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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