Individual
DEMETRIA KAY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 LAKEWORTH DR, INDIANAPOLIS, IN 46220-4035
(317) 998-1289
Mailing address
6803 LAKEWORTH DR, INDIANAPOLIS, IN 46220-4035
(317) 998-1289
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
22-015477-1
IN
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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