Individual
DONNY RAY MCCUIEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ETC...
Contact information
Practice address
1818 N TAYLOR ST # 109, LITTLE ROCK, AR 72207-4639
(501) 647-2570
Mailing address
1818 N TAYLOR ST # 109, LITTLE ROCK, AR 72207-4639
(501) 647-2570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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