SHANISA DECOLE THOMAS-PORTER

LITTLE ROCK, AR
NPI1467252239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AR  121808)
Enumeration Date2025-03-19
Last Update Date2025-03-19
Business Address
SHANISA DECOLE THOMAS-PORTER RN
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
Mailing Address
SHANISA DECOLE THOMAS-PORTER RN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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