Individual
CAROLINE TINGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8201 CANTRELL RD STE 265, LITTLE ROCK, AR 72227-2347
(501) 661-0077
Mailing address
1105 N POLK ST, LITTLE ROCK, AR 72205-1734
(501) 538-6106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C7144
AR
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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