Individual
MIA SUZANNE TRUEBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 GREENWOOD SPRINGS DR APT 2416, GREENWOOD, IN 46143-6064
(812) 272-3220
Mailing address
702 GREENWOOD SPRINGS DR APT 2416, GREENWOOD, IN 46143-6064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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