Individual
JESSIE LAVERNE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 CLARK ST, BLYTHEVILLE, AR 72315-4514
(870) 762-5586
Mailing address
1104 CLARK ST, BLYTHEVILLE, AR 72315-4514
(870) 762-5586
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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