person
Grace Lillian Super
Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas
NPI 1750082848

Grace Lillian Super is a Student in an Organized Health Care Education/Training Program based in Tallahassee, AR. Grace Lillian Super practices in Little Rock, AR. The NPI Number for Grace Lillian Super is 1750082848 and holds a License No. (Arkansas).

The current practice location address for Grace Lillian Super is 4301 W Markham St # 520, Little Rock, AR and can be reached out via phone at 501-686-6627.

Location: 4301 W Markham St # 520, Little Rock, AR, 32308-0602
person
Provider Profile Details
NPI Number
1750082848
Provider Name
Grace Lillian Super
Credential
Provider Entity Type
Individual
Gender
Female
Address
4301 W Markham St # 520, Little Rock, AR, 32308-0602
Phone Number
501-686-6627
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4301 W Markham St # 520
City
State
Zip
72205-7101
Phone Number
501-686-6627
Fax Number
person
Provider Business Mailing Address Details
Address
4301 W Markham St # 520
City
State
Zip
72205-7101
Phone Number
501-686-6627
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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