Individual
KYJANA DOMINIQUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Mailing address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121607
AR
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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