GWENDOLYN STATEN

LITTLE ROCK, AR
NPI1639922941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
GWENDOLYN STATEN
6601 W 12TH ST
LITTLE ROCK, AR 72204-1513
Phone number: 501-666-8686
Mailing Address
GWENDOLYN STATEN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686