Individual
SARAH MARIE REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 506-0476
Mailing address
5155 S CAPITOL AVE, INDIANAPOLIS, IN 46217-3509
(317) 506-0476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27077556A
IN
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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