Individual
MS. TARA LYNNE JUESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5315 W 12TH ST, LITTLE ROCK, AR 72204-1858
(501) 664-0941
Mailing address
320 N CEDAR ST, LITTLE ROCK, AR 72205-5536
(501) 280-9640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA272
AR
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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