Individual
TEQUILA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 ADAMS ST, INDIANAPOLIS, IN 46218-2908
(317) 223-3323
Mailing address
2721 ADAMS ST, INDIANAPOLIS, IN 46218-2908
(317) 223-3323
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
240179671
IN
376J00000X
Homemaker
240179671
IN
Other
Enumeration date
10/10/2024
Last updated
10/11/2024
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