Individual
DESSARI L GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2954
(501) 676-3151
Mailing address
3601 RICHARDS RD, NORTH LITTLE ROCK, AR 72117-2954
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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