NPI 1235762121

Constance Hall, EDDCIMSNBARN

Practitioner Driver Pine Bluff, AR

Practice location

Address: 3605 S Holly St, Pine Bluff, AR 71603-6253
Phone: (870) 441-2064

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence CATCH58 (AR)

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Registry record

NPI: 1235762121
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2020
Record last updated: 19 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.