Individual
JAMES CESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-0702
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014082A
IN
Other
Enumeration date
06/05/2023
Last updated
08/10/2023
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