Individual
LAQUINTA SALARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BENTREE BLVD, DANVILLE, IN 46122-9058
(317) 789-5937
Mailing address
161 BENTREE BLVD, DANVILLE, IN 46122-9058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28166041A
IN
Other
Enumeration date
05/22/2016
Last updated
05/22/2016
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