Individual
ANDREW LAYENDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 S WALTON BLVD, BENTONVILLE, AR 72712
(479) 464-8081
Mailing address
495 N CORAL CANYON LOOP APT 323, FAYETTEVILLE, AR 72704-6292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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