SHANTELLA DEMETRICA DAVIS

LITTLE ROCK, AR
NPI1457487134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Ms. SHANTELLA DEMETRICA DAVIS
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
Mailing Address
Ms. SHANTELLA DEMETRICA DAVIS
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686