Individual
SAMANTHA KAY STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4107 RICHARDS RD, NORTH LITTLE ROCK, AR 72117
(501) 955-2220
Mailing address
1910 LORANCE DR, LITTLE ROCK, AR 72206-9071
(501) 813-9861
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L48915
AR
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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