Individual
MISS RASHUNDA RENE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1450 LANCASHIRE CT, INDIANAPOLIS, IN 46260-2122
(317) 590-2335
Mailing address
1450 LANCASHIRE CT, INDIANAPOLIS, IN 46260-2122
(317) 590-2335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27054722A
IN
164W00000X
Licensed Practical Nurse
4703097636
MI
Other
Enumeration date
12/27/2009
Last updated
12/27/2009
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