HENRY POLAND

COTTER, AR
NPI1699118927
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: AR  OT-A451)
Enumeration Date2013-04-17
Last Update Date2013-04-17
Business Address
-- HENRY POLAND COTA
740 DENTON FERRY RD
COTTER, AR 72626-9701
Phone number: 318-548-0682
Mailing Address
-- HENRY POLAND COTA
11721 CLAY ANSLEY HWY
RUSTON, LA 71270-8257
Phone number: