ERICSON DISMUKE

PINE BLUFF, AR
NPI1689568610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
ERICSON DISMUKE
3605 MALLARD DR
PINE BLUFF, AR 71601-9770
Phone number: 870-301-4312
Mailing Address
ERICSON DISMUKE
3605 MALLARD DR
PINE BLUFF, AR 71601-9770
Phone number: