Organization
2BROWNGIRLZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE HENSLEY (OWNER)
(317) 998-0991
Entity
Organization
Contact information
Practice address
4041 N AUDUBON RD, INDIANAPOLIS, IN 46226-4740
(317) 998-0991
Mailing address
4041 N AUDUBON RD, INDIANAPOLIS, IN 46226-4740
(317) 998-0991
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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