Individual
MARIAM AL-THAAQIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 ROBERTSON BLVD, INDIANAPOLIS, IN 46228-2791
(463) 302-8015
Mailing address
4321 ROBERTSON BLVD, INDIANAPOLIS, IN 46228-2791
(463) 302-8015
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
25-018769-1
IN
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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