SHASTA DOCKERY

NORTH LITTLE ROCK, AR
NPI1104347814
Former NameSHASTA DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AR  R104622)
Enumeration Date2017-07-03
Last Update Date2022-07-21
Business Address
SHASTA DOCKERY RN
15020 WADE BLVD.
NORTH LITTLE ROCK, AR 72113
Phone number: 501-231-9732
Mailing Address
SHASTA DOCKERY RN
15020 WADE BLVD
NORTH LITTLE ROCK, AR 72113-6876
Phone number: 501-231-9732
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