Individual
MARCUS SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2607 CADDO ST, ARKADELPHIA, AR 71923-5307
(870) 230-8217
Mailing address
2607 CADDO ST, ARKADELPHIA, AR 71923-5307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228244795
—
AR
01
—
A1908000
AR STATE BOARD LICENSING
AR
Enumeration date
07/18/2018
Last updated
10/15/2019
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