AHMAD GRANBERRY

NEWPORT, AR
NPI1770716920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-09-03
Last Update Date2009-09-03
Business Address
-- AHMAD GRANBERRY CMP
210 THIRD ST
NEWPORT, AR 72112-3302
Phone number: 870-523-9496
Mailing Address
-- AHMAD GRANBERRY CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344