Individual
LA' KELILA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5051 THRUSH DR, INDIANAPOLIS, IN 46224-2343
(317) 418-3658
Mailing address
5051 THRUSH DR, INDIANAPOLIS, IN 46224-2343
(317) 418-3658
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
24-017327
IN
Other
Enumeration date
03/15/2025
Last updated
03/25/2025
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