Individual
JUSTIN COLE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 STONELEDGE DR, MAUMELLE, AR 72113-6021
(501) 837-8295
Mailing address
77 STONELEDGE DR, MAUMELLE, AR 72113-6021
(501) 837-8295
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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