Individual
SHALONDA MICHELLE-LEE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1930 W 79TH ST, INDIANAPOLIS, IN 46260-3022
(317) 222-5255
Mailing address
1930 W 79TH ST, INDIANAPOLIS, IN 46260-3022
(317) 222-5255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27057648A
IN
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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