Individual
ALICIA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8723 BERMUDA DR, INDIANAPOLIS, IN 46219-2511
(317) 527-1426
Mailing address
8723 BERMUDA DR, INDIANAPOLIS, IN 46219-2511
(317) 527-1426
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24016864
IN
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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