Individual
GWENITH NYNELL CULCLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4354 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2917
(501) 955-7600
(501) 955-7612
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150610
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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