Individual
KHALIAH AMANI HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 W 24TH AVE, GARY, IN 46406-2821
(219) 885-4264
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 884-4900
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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