NPI 1639970783

Ravensymone Freeman

Practitioner Driver Little Rock, AR

Practice location

Address: 4619 W 25th St, Little Rock, AR 72204-5224
Phone: (501) 298-0491
Fax: (501) 298-0491

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 940260790 (AR)

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Registry record

NPI: 1639970783
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2025
Record last updated: 24 Mar 2025

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.