Individual
ANTWONE LAMONTE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10313 HORNTON ST, INDIANAPOLIS, IN 46236-7034
(317) 672-8509
Mailing address
10313 HORNTON ST, INDIANAPOLIS, IN 46236-7034
(317) 672-8509
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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