Individual
MA. AMPARO LOPEZ TRIAS - MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Mailing address
5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278-1785
(317) 388-0800
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
030132
NY
Other
Enumeration date
11/13/2009
Last updated
03/20/2013
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