Most Relevant Information
Provider Data
| NPI Number: | 1003599630 |
| Provider Name: | RACHEAL JORDAN TRANTHAM QBHP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2023 |
| Last Updated: | 08/10/2023 |
Provider Practice Location
745 OLD WARREN RD
MONTICELLO
AR
716559713
Practice Location Phone/Fax
| Phone: | 8703679035 |
| Fax: |
Provider Mailing Location
745 OLD WARREN RD
MONTICELLO
AR
716559713
Provider Mailing Phone/Fax
| Phone: | 8703679035 |
| Fax: |