Individual
JUDITH M AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 S CLAY ST, MOORESVILLE, IN 46158-1616
(317) 525-8553
Mailing address
355 W 16TH ST STE 2305, INDIANAPOLIS, IN 46202-2207
(317) 962-4732
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28162348A
IN
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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