Individual
LATONIA SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2851 FOREST MANOR AVE, INDIANAPOLIS, IN 46218-3034
(317) 249-0755
Mailing address
2851 FOREST MANOR AVE, INDIANAPOLIS, IN 46218-3034
(317) 249-0755
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
240165591
IN
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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