Individual
CYNTHIA ANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 MEMORY DR, EL DORADO, AR 71730-8747
(870) 310-8708
Mailing address
127 MEMORY DR, EL DORADO, AR 71730-8747
(870) 310-8708
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
134019783
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134019783
—
AR
Enumeration date
04/01/2011
Last updated
04/01/2011
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