Vivian A Holder MHPP

NPI 1083959431 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1083959431
Gender Female
Enumeration Date 12/11/2012
Last Updated 12/11/2012
Entity Type Individual
Active Over 3 years ago
Practice Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Business Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Vivian A Holder MHPP NPI is 1083959431, taxonomy code is 171M00000X Vivian A Holder MHPP physically located at 2707 Browns Ln, Jonesboro AR, 72401-7213. NPI Number Vivian A Holder MHPP has the Individual type.

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1083959431 NPI number is provided on an as is basis without warranty of any kind. 1083959431 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian A Holder MHPP are for informational purposes only.