Individual
TAQUSIA SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
8429 CASTLETON CORNER DR, INDIANAPOLIS, IN 46250-3580
(317) 518-0282
Mailing address
1961 SUFFOLK LN, INDIANAPOLIS, IN 46260-3014
(317) 518-0282
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
BC20400345
IN
Other
Enumeration date
05/18/2020
Last updated
05/19/2020
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