LESLIE TAI WEATHERFORD

WYNNE, AR
NPI1386257855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AR  125494)
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
LESLIE TAI WEATHERFORD APRN
611 JULIA AVE E
WYNNE, AR 72396-3506
Phone number: 870-238-0377
Mailing Address
LESLIE TAI WEATHERFORD APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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