Female

Mrs. Sandra G. Crow PTA

Community Health Worker in El Dorado, AR(View on Map)

Full Name

Mrs. Sandra Gail Crow PTA

NPI Number

1265674501

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/01/2009

Specialties

(Taxonomies)

Code

172V00000X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

PTA 1862

Contact
Information

Purpose

Mailing
Location

Address

1207 W BLOCK ST
412 E FAULKNER ST

City

El Dorado
El Dorado

State

AR
AR

Postal Code

71730-5355
71730-5802

Country

US
US

Telephone Number

(870) 864-3959
(870) 881-4677

Identifiers

Identifier

145351721

Identifier State

AR

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/18/2010

Provider Address

Other Community Health Worker in El Dorado, Arkansas:

Female

Amber Bishop PTA

El Dorado, AR

Specialty: Community Health Worker (Primary)