Individual
TRINITY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSA
Contact information
Practice address
55 S STATE AVE STE 347, INDIANAPOLIS, IN 46201-3895
(463) 203-5790
Mailing address
55 S STATE AVE STE 347, INDIANAPOLIS, IN 46201-3895
(463) 203-5790
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
24-017802
IN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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