DALECEDRIC LEMONT DANIELS

LITTLE ROCK, AR
NPI1467586271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Mr. DALECEDRIC LEMONT DANIELS
6501 W 12TH ST
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
Mailing Address
Mr. DALECEDRIC LEMONT DANIELS
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686