Individual
KRISTEN NICOLE HEWAWASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
221 E MICHIGAN ST APT 301, INDIANAPOLIS, IN 46204-1550
(317) 964-1176
Mailing address
221 E MICHIGAN ST APT 301, INDIANAPOLIS, IN 46204-1550
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67027354A
IN
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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