Individual
SEPTEMBER D NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5732 MATTESON DR, INDIANAPOLIS, IN 46235-4150
(317) 695-4969
Mailing address
5732 MATTESON DR, INDIANAPOLIS, IN 46235-4150
(317) 695-4969
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
24-016787-1
IN
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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