TRACEY JO GUSTAVESON

LITTLE ROCK, AR
NPI1386355089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: AR  R091797)
Enumeration Date2022-12-13
Last Update Date2022-12-13
Business Address
Mrs. TRACEY JO GUSTAVESON RN
14901 CANTRELL RD
LITTLE ROCK, AR 72223-4255
Phone number: 501-367-1200
Mailing Address
Mrs. TRACEY JO GUSTAVESON RN
14901 CANTRELL RD
LITTLE ROCK, AR 72223-4255
Phone number: 501-367-1200