Majenta A Wise, LPN

NPI #1568083855 in Sherwood, Arkansas

Provider Information

NPI Number
1568083855
Entity Type
Individual
Name
Majenta A Wise, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 28, 2020
Last Updated
Apr 28, 2020

Practice Location

Address
1540 COUNTRY CLUB RD
ZIP Code
72120-5095
Phone
(501) 753-5459

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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