Individual
MAKYAH DENISE ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
532 JULIA ST, WEST MEMPHIS, AR 72301-3414
(918) 407-4646
Mailing address
532 JULIA ST, WEST MEMPHIS, AR 72301-3414
(918) 407-4646
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
37V129761112
OK
376K00000X
Nurse's Aide
37V129761112
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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