Individual
AISHA ROYSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 LACEBARK DR UNIT T, GREENWOOD, IN 46143-6984
(765) 400-6123
Mailing address
1515 LACEBARK DR UNIT T, GREENWOOD, IN 46143-6984
(765) 400-6123
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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