Individual
MRS. TAKIA N KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5915 TANEY PL, MERRILLVILLE, IN 46410-2171
(219) 488-4085
Mailing address
5915 TANEY PL, MERRILLVILLE, IN 46410-2171
(219) 488-4085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28183432A
IN
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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