Individual
FELISHA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 LLAMA DR, SEARCY, AR 72143-4785
(501) 268-2292
Mailing address
404 LLAMA DR, SEARCY, AR 72143-4785
(501) 268-2292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R086580
AR
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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