Individual
DARENIQUE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 LACKEY RD, MARION, AR 72364-5003
(870) 771-8128
Mailing address
725 LACKEY RD, MARION, AR 72364-5003
(870) 771-8128
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
927733964
AR
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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