Individual
DOMINIQUE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10752 NEWGATE LN, INDIANAPOLIS, IN 46231-1817
(317) 491-4778
Mailing address
10752 NEWGATE LN, INDIANAPOLIS, IN 46231-1817
(317) 491-4778
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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