Individual
JARED HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E PARKWAY DR, RUSSELLVILLE, AR 72801-4202
(866) 921-0149
Mailing address
700 E PARKWAY DR, RUSSELLVILLE, AR 72801-4202
(866) 921-0149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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