Mario Bass
NPI #1134581515 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1134581515
- Entity Type
- Individual
- Name
- Mario Bass
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 24, 2016
- Last Updated
- Mar 24, 2016
Practice Location
- Address
- 413 W TYLER AVE
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-4149
- Phone
- (870) 733-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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