Individual
ANGELA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 DONAGHEY AVE, CONWAY, AR 72034-3221
(501) 328-2242
(501) 328-2244
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 968-1298
(479) 968-6053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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