Individual
CHUKWUEMEKA I OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 E MATTHEWS AVE, JONESBORO, AR 72401-4347
(870) 972-1268
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
08/04/2020
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