Individual
MRS. DOROTHY M BROADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
130 S 16TH ST, WEST MEMPHIS, AR 72301-4610
(870) 732-7981
(870) 732-7984
Mailing address
130 S 16TH ST, WEST MEMPHIS, AR 72301-4610
(870) 732-7981
(870) 732-7984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
208584752
AR
Other
Enumeration date
02/26/2016
Last updated
03/14/2025
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