Individual
TERRIANA C WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 VILLA AVE, INDIANAPOLIS, IN 46201-4061
(317) 830-2081
Mailing address
350 VILLA AVE, INDIANAPOLIS, IN 46201-4061
(317) 830-2081
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
250190361
IN
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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