Individual
LATISHA D BIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1345 UNITY PL STE 235, LAFAYETTE, IN 47905
(765) 446-5065
(765) 446-5317
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 446-5317
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
105640
IN
Other
Enumeration date
10/12/2007
Last updated
07/31/2018
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