Individual
DARNISE LASHELLE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 WOODBRIAR DR, JACKSONVILLE, AR 72076-5365
(501) 240-4520
Mailing address
18 WOODBRIAR DR, JACKSONVILLE, AR 72076-5365
(501) 240-4520
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
04/05/2019
Last updated
04/05/2019
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