Individual
LATASHA KAYE HINTON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 8TH ST, SMACKOVER, AR 71762-1817
(870) 590-5040
Mailing address
105 W 8TH ST, SMACKOVER, AR 71762-1817
(870) 590-5040
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
050152270101E
AR
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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