| Dedra Jai Hue Llc | |
|
10515 W Markham St Ste I3 Little Rock AR 72205-2283 | |
| (501) 492-6797 | |
| (501) 307-1259 |
| Full Name | Dedra Jai Hue Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 10515 W Markham St Ste I3, Little Rock, Arkansas |
| Authorized Official Name and Position | Ladeidra Donahue (CEO) |
| Authorized Official Contact | 5014926797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedra Jai Hue Llc 10515 W Markham St Ste I3 Little Rock AR 72205-2283 Ph: (501) 492-6797 | Dedra Jai Hue Llc 10515 W Markham St Ste I3 Little Rock AR 72205-2283 Ph: (501) 492-6797 |
| NPI Number | 1225833411 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225833411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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