Individual
MARIECA PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7415 COLONEL GLENN RD STE 23, LITTLE ROCK, AR 72204-7612
(501) 658-4395
Mailing address
4 ELKHART CT, LITTLE ROCK, AR 72204-3408
(501) 777-2541
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
137644
AR
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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