Individual
CANDY MILAGROS VENTURA STROMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 574-3053
(833) 645-0881
Mailing address
15 BRANDYWINE LN, LITTLE ROCK, AR 72227-5501
(575) 779-6443
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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