Individual
TINA MARIE LISENBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 ALLISON POINTE BLVD, INDIANAPOLIS, IN 46250-5700
(888) 895-8968
Mailing address
8520 ALLISON POINTE BLVD, INDIANAPOLIS, IN 46250-5700
(888) 895-8968
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
230163681
IN
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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