Individual
IKE BOYD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 E 46TH ST, INDIANAPOLIS, IN 46205-2117
(317) 987-0167
Mailing address
1506 E 46TH ST, INDIANAPOLIS, IN 46205-2117
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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