Individual
MRS. JOELLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FORT ROOTS DRIVE, NORTH LITTLE ROCK, AR 72114
(501) 257-3310
Mailing address
905 ANDERSON WAY, VAN BUREN, AR 72956-7627
(479) 883-3241
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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