Individual
JAMARYON MIDDLEBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 690-9993
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 690-9993
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAPRC2-MH-5048
IN
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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