GWAN PHIFER

BENTON, AR
NPI1467796516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
-- GWAN PHIFER Recovery Assistant
6701 HIGHWAY 67
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- GWAN PHIFER Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344