Individual
ARNETTA MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 W 86TH ST STE 360, INDIANAPOLIS, IN 46268
(317) 342-3300
Mailing address
3901 W 86TH ST STE 360, INDIANAPOLIS, IN 46268
(317) 342-3300
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24-017030-1
IN
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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