Individual
CLARA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 PRO AM PL, INDIANAPOLIS, IN 46229-4322
(317) 947-7889
Mailing address
1907 PRO AM PL, INDIANAPOLIS, IN 46229-4322
(317) 947-7889
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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