Individual
ELLA BOARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 GARDENBROOK CIR APT B, INDIANAPOLIS, IN 46202-4671
(574) 440-5218
Mailing address
825 GARDENBROOK CIR APT B, INDIANAPOLIS, IN 46202-4671
(574) 440-5218
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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