Individual
IFEYINWA R NZEREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W 53RD ST, SUITE A, ANDERSON, IN 46013-1514
(765) 683-0633
(765) 683-0603
Mailing address
12756 PARSONS GATE, CARMEL, IN 46032-7360
(317) 748-4032
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
31004264A
IN
Other
Enumeration date
10/15/2007
Last updated
03/07/2025
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