TRACE GREGORY LAFFOON

CONWAY, AR
NPI1689556896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-07-21
Last Update Date2026-08-04
Business Address
TRACE GREGORY LAFFOON
437 DENISON ST
CONWAY, AR 72034-6127
Phone number: 501-327-1325
Mailing Address
TRACE GREGORY LAFFOON
PO BOX 9662
CONWAY, AR 72033-9662
Phone number: 501-852-1363