Individual
ALYSSA J CORRETHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12916 COURAGE XING, FISHERS, IN 46037-5996
(317) 200-1999
Mailing address
12916 COURAGE XING, FISHERS, IN 46037-5996
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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