Individual
MS. LAQUETTA YVETTE HENDREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, MA
Contact information
Practice address
2260 MANGUM RD, MEMPHIS, TN 38134-5811
(901) 281-3444
Mailing address
2260 MANGUM RD, MEMPHIS, TN 38134-5811
(901) 281-3444
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
00168002
TN
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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