Individual
MR. DESMOND IRA PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7331 GLENWICK BLVD, INDIANAPOLIS, IN 46217-5374
(574) 514-1750
Mailing address
7331 GLENWICK BLVD, INDIANAPOLIS, IN 46217-5374
(574) 514-1750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28281234A
IN
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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