Individual
MARITES CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 W 71ST ST, STE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0808
(317) 388-0805
Mailing address
5980 W 71ST ST, STE 102, INDIANAPOLIS, IN 46278-2711
(317) 388-0808
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
030743
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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