Individual
MRS. ANDREA LAVELL HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 CALVIN AVERY DR STE A, WEST MEMPHIS, AR 72301-6536
(901) 896-9626
(870) 394-9391
Mailing address
704 CALVIN AVERY DR, WEST MEMPHIS, AR 72301-6500
(901) 896-9626
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AR5759
AR
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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