Individual
KEANA SUMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 SPRUCE ST, INDIANAPOLIS, IN 46203-2829
(317) 995-3855
Mailing address
1625 SPRUCE ST, INDIANAPOLIS, IN 46203-2829
(317) 995-3855
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
IN
Other
Enumeration date
09/17/2024
Last updated
09/20/2024
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