Individual
LARETTA MACHELLE SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17235 LOGAN CAVE RD LOT 3, SILOAM SPRINGS, AR 72761-9223
(918) 413-9235
Mailing address
17235 LOGAN CAVE RD LOT 3, SILOAM SPRINGS, AR 72761-9223
(918) 413-9235
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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