Individual
AMANDA LASHAY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L049677
AR
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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