Individual
ANDRES ZEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
617 E NORTH ST, MAGNOLIA, AR 71753-3120
(501) 661-0720
Mailing address
1600 ALDERSGATE RD, SUITE 100, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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