Individual
MISS TANIKIA FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6002 W 62ND ST, INDIANAPOLIS, IN 46278-2909
(317) 427-3763
Mailing address
6002 W 62ND ST, INDIANAPOLIS, IN 46278-2909
(317) 427-3763
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
23-016294-1
IN
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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