TEQUILA JANTANA LACY

JONESBORO, AR
NPI1073187324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies174400000X Specialist
Enumeration Date2021-05-19
Last Update Date2024-06-03
Business Address
TEQUILA JANTANA LACY
2808 FOX MEADOW LANE
JONESBORO, AR 72404-9346
Phone number: 870-932-4245
Mailing Address
TEQUILA JANTANA LACY
2808 FOX MEADOW LANE
JONESBORO, AR 72404-9346
Phone number: 870-932-4245