Individual
MS. EDNA MARIE WILLIAMS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2549 E 55TH PL, INDIANAPOLIS, IN 46220-3525
(317) 542-7680
(317) 253-7380
Mailing address
2549 E 55TH PL, INDIANAPOLIS, IN 46220-3525
(317) 542-7680
(317) 253-7380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902678
IN
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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