FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA
Osteopathic Medicine at Huron Ln, Little Rock, AR

License number
Arkansas E6518
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: TERESA RENEE JEFFERS M D
Title: PRESIDENT/OWNER
Phone: (501) 221-1956
Address
Address
11614 Huron Ln STE A, Little Rock, AR 72211
National Provider ID: 1265727259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOUR SEASONS ALLERGY AND ASTHMA CLINIC, PA

11614A Huron Ln, Little Rock, AR 72211

Registration:
May 19, 2011
State ID:
800199839
Business type:
For Profit Corporation
Tax Preparers:
Teresa Jeffers (Incorporator/Organizer),Christopher S. Mann (Tax Preparer)
Filled under act:
Dom Medical Corp; 179 of 1961

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