Individual
REBECCA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MUTZ DR, INDIANAPOLIS, IN 46229-2255
(317) 407-6937
Mailing address
1610 MUTZ DR, INDIANAPOLIS, IN 46229-2255
(317) 407-6937
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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