Individual
STELLA CHIBOGU MODIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5960 SYCAMORE FORGE DR, INDIANAPOLIS, IN 46254-1274
(317) 939-3195
Mailing address
5960 SYCAMORE FORGE DR, INDIANAPOLIS, IN 46254-1274
(317) 939-3195
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
014437
IN
Other
Enumeration date
09/10/2018
Last updated
01/14/2022
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