Individual
MRS. DRAXIE JEAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RIDGEWAY AVE, EUREKA SPRINGS, AR 72632-3024
(479) 253-6638
Mailing address
5 RIDGEWAY AVE, EUREKA SPRINGS, AR 72632-3024
(479) 253-6638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153621783
—
AR
Enumeration date
05/30/2008
Last updated
05/30/2008
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