Individual
ANQUINETTE MICHELLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NEMT TRANSPORTATION
Contact information
Practice address
911 CHESTNUT ST # 5, CONWAY, AR 72032-4301
(501) 404-0666
(501) 404-9722
Mailing address
911 CHESTNUT ST # 5, CONWAY, AR 72032-4301
(501) 404-0666
(501) 404-9722
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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