Individual
MS. JAMIKA DAULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3519 MOUNTAIN LAUREL PL # B, INDIANAPOLIS, IN 46205-3349
(317) 652-5367
Mailing address
3519 MOUNTAIN LAUREL PL # B, INDIANAPOLIS, IN 46205-3349
(317) 652-5367
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
20-014846
IN
253Z00000X
In Home Supportive Care Agency
Primary
20-014846
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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