Individual
MS. CHIOMA MERCY NDUBUAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7175 RUE DE MARGOT DR, INDIANAPOLIS, IN 46260-3717
(317) 295-8574
Mailing address
7175 RUE DE MARGOT DR, INDIANAPOLIS, IN 46260-3717
(317) 295-8574
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
48-03-04-00305
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48-03-04-00305
HHA REGISTRATION
IN
Enumeration date
03/31/2007
Last updated
07/08/2007
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