Individual
DARLA PONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 KNUE RD, INDIANAPOLIS, IN 46250-1976
(317) 842-7435
Mailing address
PO BOX 34, RENSSELAER, IN 47978-0034
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27021875A
IN
Other
Enumeration date
08/24/2007
Last updated
12/10/2015
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