Organization
DIETARY SOLUTIONS OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA L. EASTIN R.D. (PRESIDENT)
(317) 847-4225
Entity
Organization
Contact information
Practice address
11979 SLOANE MUSE, FISHERS, IN 46037-4158
(317) 847-4225
Mailing address
PO BOX 456, FISHERS, IN 46038-0456
(317) 847-4225
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
37000119A
IN
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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