LAQUITA DOMINIQUE SELVY

OSCEOLA, AR
NPI1679122634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
LAQUITA DOMINIQUE SELVY
3201 W KEISER AVE
OSCEOLA, AR 72370-3467
Phone number: 870-622-0592
Mailing Address
LAQUITA DOMINIQUE SELVY
1815 PLEASANT GROVE RD
JONESBORO, AR 72405-7870
Phone number: 870-933-6886