LATAIRRICKA07/11/198 BOLDEN

WEST MEMPHIS, AR
NPI1508541004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
LATAIRRICKA07/11/198 BOLDEN
103 S AVALON ST
WEST MEMPHIS, AR 72301-4165
Phone number: 870-732-1878
Mailing Address
LATAIRRICKA07/11/198 BOLDEN
103 S AVALON ST
WEST MEMPHIS, AR 72301-4165
Phone number: 870-732-1878
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