Individual
BEVERLY AVERITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2477 BOND ST, INDIANAPOLIS, IN 46208-5355
(317) 626-1897
Mailing address
2477 BOND ST, INDIANAPOLIS, IN 46208-5355
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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