Individual
MRS. CARON LYNN CUNNINGHAM HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTR
Contact information
Practice address
1618 EXCELSIOR RD, GREENWOOD, AR 72936-5106
(479) 597-0022
(479) 314-1708
Mailing address
1618 EXCELSIOR RD, GREENWOOD, AR 72936-5106
(479) 597-0022
(479) 314-1708
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2008137
AR
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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