Individual
TONYA KISSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ALSEA DR, CHEROKEE VILLAGE, AR 72529-3009
(870) 955-8276
Mailing address
2 ALSEA DR, CHEROKEE VILLAGE, AR 72529-3009
(870) 955-8276
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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