JACENT LAMONT WINSTON

NORTH LITTLE ROCK, AR
NPI1457724742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2015-11-09
Last Update Date2015-11-09
Business Address
-- JACENT LAMONT WINSTON
13718 TRETHORNE CIR
NORTH LITTLE ROCK, AR 72117-5052
Phone number: 501-606-1498
Mailing Address
-- JACENT LAMONT WINSTON
PO BOX 166242
LITTLE ROCK, AR 72216-6242
Phone number: 501-606-1498