Individual
MERCEDES TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5214 S EAST ST STE D2, INDIANAPOLIS, IN 46227-2734
(317) 364-8487
Mailing address
5214 S EAST ST STE D2, INDIANAPOLIS, IN 46227-2734
(317) 364-8487
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-016789
IN
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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