Individual
TAMMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 CRICKWOOD LN, INDIANAPOLIS, IN 46268-4730
(317) 801-7579
Mailing address
7540 CRICKWOOD LN, INDIANAPOLIS, IN 46268-4730
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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