NISSA WADDELL

BENTON, AR
NPI1225489396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- NISSA WADDELL Recovery Assistant
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- NISSA WADDELL Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344