Individual
CANAAN JOEL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 WILLIAMSBURG DR, JONESBORO, AR 72404-9575
(870) 319-5525
Mailing address
2205 WILLIAMSBURG DR, JONESBORO, AR 72404-9575
(870) 319-5525
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
AR
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AR
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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