TESA L IVEY

LITTLE ROCK, AR
NPI1396060356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AR  A03357 ANP)
Enumeration Date2010-04-02
Last Update Date2010-08-09
Business Address
-- TESA L IVEY APN
4301 W MARKHAM ST SLOT 519
LITTLE ROCK, AR 72205-7101
Phone number: 501-526-7425
Mailing Address
-- TESA L IVEY APN
4301 W MARKHAM ST SLOT 519
LITTLE ROCK, AR 72205-7101
Phone number:
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