Nicole Land CMP

NPI 1316132384 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1316132384
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
CLINTON AR, 72031-6619, US
Phone (501) 745-6644
Business Location
PO BOX 1589
BENTON AR, 72018-1589, US
Phone (501) 315-3344
Taxonomy Code 171M00000X
License State
License Number
Remove 1316132384 NPI Number

According to our database, Nicole Land CMP NPI is 1316132384, taxonomy code is 171M00000X Nicole Land CMP physically located at 304 Shake Rag Rd, Clinton AR, 72031-6619. NPI Number Nicole Land CMP has the Individual type.

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1316132384 NPI number is provided on an as is basis without warranty of any kind. 1316132384 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Land CMP are for informational purposes only.