Individual
RAYCHELLE MARBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 JACKSON WAY, AVON, IN 46123-9588
(317) 919-7571
Mailing address
9750 JACKSON WAY, AVON, IN 46123-9588
(317) 919-7571
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA2206174
IN
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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