Individual
DEANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Mailing address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L49640
AR
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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