Individual
MARISA BORIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4162 N COLLEGE AVE APT 2, INDIANAPOLIS, IN 46205-2739
(812) 629-6103
Mailing address
4162 N COLLEGE AVE APT 2, INDIANAPOLIS, IN 46205-2739
(812) 629-6103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28251465A
IN
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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