Individual
KEISHA NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3719 STADIUM BLVD APT E11, JONESBORO, AR 72404-7929
(870) 761-0021
Mailing address
3719 STADIUM BLVD APT E11, JONESBORO, AR 72404-7929
(870) 761-0021
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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