Individual
AZONDA E ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10026 E 21ST ST OFC 318, INDIANAPOLIS, IN 46229-1802
(317) 525-3597
Mailing address
10026 E 21ST ST, 18, INDIANAPOLIS, IN 46229-1802
(317) 525-3597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
05/12/2006
Last updated
08/28/2014
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