JOHNATHAN BLANE MOSS

HOT SPRINGS, AR
NPI1457061723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
JOHNATHAN BLANE MOSS QBHP
1820 CENTRAL AVE STE D
HOT SPRINGS, AR 71901-6898
Phone number: 501-463-4627
Mailing Address
JOHNATHAN BLANE MOSS QBHP
1820 CENTRAL AVE STE D
HOT SPRINGS, AR 71901-6898
Phone number: 501-463-4627