Individual
MS. SHELLEA DOMONICA REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3995
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28184684A
IN
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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