Manuel Enrique Tejada, MBA
Community Health Worker in Springdale, AR. Individual provider (NPI-1).
NPI number1477331007
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1477331007
- Entity type
- Individual (NPI-1)
- Name
- Manuel Enrique Tejada
- Credential
- MBA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2023
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1380 Bay AveSpringdale, AR 72764-7956
Phone 479-713-0080
Mailing address
1380 Bay AveSpringdale, AR 72764-7956
Phone 479-713-0080
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