Individual
TANSHERICE BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 N EATON AVE, INDIANAPOLIS, IN 46219-1403
(317) 974-9330
Mailing address
2465 N EATON AVE, INDIANAPOLIS, IN 46219-1403
(317) 457-2015
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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