Individual
TASHA N MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 MARY KAY BLVD, BENTON, AR 72015
(501) 303-3105
Mailing address
1506 MARY KAY BLVD, BENTON, AR 72015
(501) 303-3105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L059009
AR
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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