Individual
DEANNA SHAVON EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 CHERRY ST, EL DORADO, AR 71730-6414
(870) 312-3733
Mailing address
614 CHERRY ST, EL DORADO, AR 71730-6414
(870) 312-3733
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
929362912
AR
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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