Individual
MS. MONICA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.E.
Contact information
Practice address
1615 MARTIN LUTHER KING BLVD, MALVERN, AR 72104-2233
(501) 332-5236
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94-15E
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
01
—
201829
VALUE OPTIONS
AR
01
—
5T182
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
02/08/2006
Last updated
12/17/2008
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