Individual
RAVENSYMONE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4619 W 25TH ST, LITTLE ROCK, AR 72204-5224
(501) 298-0491
(501) 298-0491
Mailing address
4619 W 25TH ST, LITTLE ROCK, AR 72204-5224
(501) 449-1588
(501) 449-1588
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
940260790
AR
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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