Individual
MIRIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 CRAWFORDSVILLE RD # DOOR15, INDIANAPOLIS, IN 46224-3727
(317) 210-9647
Mailing address
1704 PORTAGE TER, INDIANAPOLIS, IN 46227-5443
(317) 432-9439
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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