AMANDA NICHOLE GREEN

LITTLE ROCK, AR
NPI1780718395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- AMANDA NICHOLE GREEN
6425 W 12TH ST
LITTLE ROCK, AR 72204-1509
Phone number: 501-666-8686
Mailing Address
-- AMANDA NICHOLE GREEN
PO BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686