Individual
MRS. JESSICA ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2380
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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