RODRICK EDELEN

FAYETTEVILLE, AR
NPI1154777134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-10
Last Update Date2016-05-10
Business Address
-- RODRICK EDELEN MHPP
309 S BLOCK AVE APT 7
FAYETTEVILLE, AR 72701-6487
Phone number: 479-502-4159
Mailing Address
-- RODRICK EDELEN MHPP
309 S BLOCK AVE APT 7
FAYETTEVILLE, AR 72701-6487
Phone number: