person
Deshantra Mccoy
Prosthetics Case Management in Pine Bluff, Arkansas
NPI 1730620600

Deshantra Mccoy is a Prosthetics Case Management based in Pine Bluff, AR and is specialized in Prosthetics Case Management. Deshantra Mccoy practices in Pine Bluff, AR. The NPI Number for Deshantra Mccoy is 1730620600 and holds a License No. 143286 (Arkansas).

The current practice location address for Deshantra Mccoy is 1401 W 6Th Ave, Pine Bluff, AR and can be reached out via phone at 870-377-4095.

Location: 1401 W 6Th Ave, Pine Bluff, AR, 71602-3459
person
Provider Profile Details
NPI Number
1730620600
Provider Name
Deshantra Mccoy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 W 6Th Ave, Pine Bluff, AR, 71602-3459
Phone Number
870-377-4095
Fax Number
Provider Enumeration Date
03/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 W 6Th Ave
City
State
Zip
71601-3931
Phone Number
870-377-4095
Fax Number
person
Provider Business Mailing Address Details
Address
1401 W 6Th Ave
City
State
Zip
71601-3931
Phone Number
870-377-4095
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
143286 (Arkansas)
Definition
Definition to come...
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