Individual
COMEATRIEZE VANTELIA ESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
816 N. CREEK DR., CONWAY, AR 72032
(501) 329-5848
(501) 329-5848
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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