Individual
LATRICE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3862 CARROLLTON AVE, INDIANAPOLIS, IN 46205-2751
(317) 766-1981
Mailing address
8716 E 21ST ST, INDIANAPOLIS, IN 46219-2519
(317) 766-1981
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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