JACKIE LEON CHEATHAM

CALICO ROCK, AR
NPI1225348980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: AR  16847)
Enumeration Date2010-10-15
Last Update Date2010-10-15
Business Address
-- JACKIE LEON CHEATHAM EMT
907 AR HWY 56
CALICO ROCK, AR 72519-0261
Phone number: 870-421-9494
Mailing Address
-- JACKIE LEON CHEATHAM EMT
PO BOX 261 907 AR HWY 56
CALICO ROCK, AR 72519-0261
Phone number: 870-421-9494