Individual
RONDRE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 RAND RD, INDIANAPOLIS, IN 46241-5504
(317) 964-1304
Mailing address
2707 RAND RD, INDIANAPOLIS, IN 46241-5504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000000000
IN
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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