Individual
PRISCILLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7112 ISLANDER DR APT D, INDIANAPOLIS, IN 46214-1769
(317) 982-9361
Mailing address
7112 ISLANDER DR APT D, INDIANAPOLIS, IN 46214-1769
(317) 982-9361
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
25-019371-1
IN
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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