Jacqueline Thomas MHPP

NPI 1043589930 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1043589930
Gender Female
Enumeration Date 12/21/2011
Last Updated 12/21/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
320 LEE AVE
EARLE AR, 72331-2159, US
Phone (870) 792-7769
Fax
Business Location
703 CALVIN AVERY DR
WEST MEMPHIS AR, 72301-6501, US
Phone (870) 732-1878
Fax (870) 702-7111
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Jacqueline Thomas MHPP NPI is 1043589930, taxonomy code is 171M00000X Jacqueline Thomas MHPP physically located at 320 Lee Ave, Earle AR, 72331-2159. NPI Number Jacqueline Thomas MHPP has the Individual type.

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1043589930 NPI number is provided on an as is basis without warranty of any kind. 1043589930 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Thomas MHPP are for informational purposes only.