DEMARCUS IRVING-BONILLA

TEXARKANA, AR
NPI1588035349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-10-19
Last Update Date2015-10-19
Business Address
DEMARCUS IRVING-BONILLA
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
Mailing Address
DEMARCUS IRVING-BONILLA
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: