Rico Bounnharat

NPI #1114741576 in North Little Rock, Arkansas

Provider Information

NPI Number
1114741576
Entity Type
Individual
Name
Rico Bounnharat
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Driver
Enumeration Date
Nov 12, 2024
Last Updated
Nov 12, 2024

Practice Location

Address
27 SILVER RIDGE CV
ZIP Code
72118-5237
Phone
(501) 940-6267

Specialties & Taxonomy Codes

Specialty
Driver

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