Individual
MISS CHANIKA MADHUSHANI ALWIS THELIKADA PALLIYA GURUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9219 SIBLEY HOLE RD, BUILDING B, LITTLE ROCK, AR 72209-8874
(501) 455-6166
Mailing address
9219 SIBLEY HOLE RD, BUILDING B, LITTLE ROCK, AR 72209-8874
(501) 455-6166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R102438
AR
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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