Individual
IBRAHIM JUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4533 W MURRAY ST, INDIANAPOLIS, IN 46241-6280
(317) 983-9939
Mailing address
4533 W MURRAY ST, INDIANAPOLIS, IN 46241-6280
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5400278421
IN
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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