Individual
MRS. DEANA KAY CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3450 W 34TH AVE, PINE BLUFF, AR 71603-5508
(870) 534-6067
Mailing address
1126 EVENING SUNSET CIR, REDFIELD, AR 72132-8012
(870) 370-6819
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L037659
AR
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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