Individual
JEREMCIA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 265-0302
(501) 265-0302
Mailing address
2124 LABETTE MANOR DR APT Y28, LITTLE ROCK, AR 72205-7339
(870) 821-1418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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