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LATONYA ANDERS CMP
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1497905194
Individual Registrant: LATONYA ANDERS CMP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
210 THIRD ST NEWPORT, AR 72112-3302 US
Tel: 870-523-9496 Fax: --
Tel: 870-523-9496 Fax: --
Contact information for business:
PO BOX 1589 BENTON, AR 72018-1589 US
Tel: 501-315-3344 Fax: --
Tel: 501-315-3344 Fax: --
Registration Information:
NPI: 1497905194
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator | AR |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
