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Individual

MRS. PENELOPE STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
413 S SPRING ST, A, JACKSONVILLE, AR 72076-4530
(501) 398-4878
Mailing address
413 S SPRING ST, A, JACKSONVILLE, AR 72076-4530
(501) 398-4878

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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