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Individual

CHRISTIQUE WELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8963 BAYWOOD CIR, INDIANAPOLIS, IN 46256-4330
(317) 922-4312
Mailing address
8963 BAYWOOD CIR, INDIANAPOLIS, IN 46256-4330

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251E00000X
Home Health Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
07/19/2024
Last updated
12/03/2024
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