Deshona Nicole Moss
Case Manager/Care Coordinator in Blytheville, AR. Individual provider (NPI-1).
NPI number1518259019
StatusActive
Last updated in NPPESMay 3, 2011
Details
- NPI
- 1518259019
- Entity type
- Individual (NPI-1)
- Name
- Deshona Nicole Moss
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2011
- Last updated
- May 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1510 Byrum RdBlytheville, AR 72315-8033
Phone 870-532-2600
Mailing address
1510 Byrum RdBlytheville, AR 72315-8033
Phone 870-532-2600
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All 130 Case Manager/Care Coordinator providers in Blytheville · All 465 providers in Blytheville
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