Individual
MRS. LATASHA BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 BELMAR AVE, INDIANAPOLIS, IN 46219-5205
(317) 447-7165
Mailing address
927 BELMAR AVE, INDIANAPOLIS, IN 46219-5205
(317) 447-7165
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
24-016575-1
IN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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