TANNER L HENNINGER

JONESBORO, AR
NPI1396066502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-06-22
Last Update Date2010-06-22
Business Address
-- TANNER L HENNINGER
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Mailing Address
-- TANNER L HENNINGER
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939