Individual
TRACY M SIDIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 ALAMEDA RD, INDIANAPOLIS, IN 46228-2092
(317) 625-3515
Mailing address
5230 ALAMEDA RD, INDIANAPOLIS, IN 46228-2092
(317) 625-3515
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
25-018623-1
IN
376J00000X
Homemaker
25-018623-1
IN
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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