ETHAN CREWS

FORT SMITH, AR
NPI1154979003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-09-03
Last Update Date2019-09-03
Business Address
ETHAN CREWS QBHP
3111 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-452-6650
Mailing Address
ETHAN CREWS QBHP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650