NPI 1114741576

Rico Bounnharat

Practitioner Driver North Little Rock, AR

Practice location

Address: 27 Silver Ridge Cv, North Little Rock, AR 72118-5237
Phone: (501) 940-6267

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1114741576
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2024
Record last updated: 12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.