Individual
JAISHNA SIVAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4442 EVERGREEN TRL, CARMEL, IN 46074-7761
(317) 445-9589
Mailing address
4442 EVERGREEN TRL, CARMEL, IN 46074-7761
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/17/2024
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