Individual
ELIZABETH PUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
270 MAIN ST, MAMMOTH SPRING, AR 72554-7466
(870) 625-3222
(870) 625-3216
Mailing address
PO BOX 7, MAMMOTH SPRING, AR 72554-0007
(870) 625-3222
(870) 625-3216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
183700000X
Pharmacy Technician
PT15743
AR
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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