Individual
TANIA NARISSA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 OCEANLINE EAST DR, INDIANAPOLIS, IN 46214-4158
(317) 667-2020
Mailing address
3250 OCEANLINE EAST DR, INDIANAPOLIS, IN 46214-4158
(317) 667-2020
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
18-014392-1
IN
3747P1801X
Personal Care Attendant
Primary
18-014392-1
IN
376J00000X
Homemaker
18-014392-1
IN
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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