Individual
JACK GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST # 624, LITTLE ROCK, AR 72205-7101
(501) 526-7619
Mailing address
140 MAGNOLIA CT, MOUNTAIN HOME, AR 72653-8781
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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