Individual
SHAUNA STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 RED OAK PL, MAUMELLE, AR 72113-6805
(501) 240-4623
(501) 978-1127
Mailing address
13 RED OAK PL, MAUMELLE, AR 72113-6805
(501) 240-4623
(501) 978-1127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L44581
AR
Other
Enumeration date
05/15/2008
Last updated
12/13/2010
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