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Individual

SOPHIA MARIE SYLVERNUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1106 MERIDIAN ST STE 211, ANDERSON, IN 46016-2776
(765) 393-3662
(765) 393-3654
Mailing address
1106 MERIDIAN ST STE 211, ANDERSON, IN 46016-2776
(765) 393-3662
(765) 393-3654

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20015098
HOME CARE
IN
Enumeration date
12/23/2020
Last updated
03/12/2024
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