Most Relevant Information
Provider Data
| NPI Number: | 1003274069 |
| Provider Name: | SANQUANISHA BARTLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2016 |
| Last Updated: | 12/19/2018 |
Provider Practice Location
818 MAIN ST STE A
PINEVILLE
LA
713606409
Practice Location Phone/Fax
| Phone: | 3184439035 |
| Fax: | 3184439037 |
Provider Mailing Location
818 MAIN ST STE A
PINEVILLE
LA
713606409
Provider Mailing Phone/Fax
| Phone: | 3184439035 |
| Fax: | 3184439037 |