Individual
KEISHA RENEE ALEXANDER X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4111 W 24TH ST, LITTLE ROCK, AR 72204-5444
(501) 786-0661
Mailing address
4111 W 24TH ST, LITTLE ROCK, AR 72204-5444
(501) 786-0661
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
058713391098E
AR
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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