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
- State
- Arkansas
- ZIP Code
- 72118-5237
- Phone
- (501) 940-6267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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