Individual
MARKEDA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 PAIGE RD APT 206, LAFAYETTE, IN 47909-3191
(765) 409-7213
Mailing address
PO BOX 1986, WEST LAFAYETTE, IN 47996-1986
(765) 409-7213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2401584
IN
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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