Individual
ANTIONETTE S. MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSA
Contact information
Practice address
107 BELMAR AVE, INDIANAPOLIS, IN 46219-5219
(317) 445-3707
Mailing address
107 BELMAR AVE, INDIANAPOLIS, IN 46219-5219
(317) 445-3707
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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