Individual
MARIA A ST. CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 DOLLAR HIDE SOUTH DR, INDIANAPOLIS, IN 46221-4113
(317) 830-6264
Mailing address
5506 DOLLAR HIDE SOUTH DR, INDIANAPOLIS, IN 46221-4113
(317) 830-6264
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
49-491420
IN
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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