Individual
MR. CARLOS LAMONT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3239 TANSEL RD UNIT 34035, INDIANAPOLIS, IN 46234-4601
(317) 362-6234
(317) 377-4539
Mailing address
3239 TANSEL RD UNIT 34035, INDIANAPOLIS, IN 46234-4601
(317) 362-6234
(317) 377-4539
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2330905299
IN
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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