Individual
ELEECIA ENGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2529 WHEELER ST, INDIANAPOLIS, IN 46218-2831
(317) 908-9446
Mailing address
2529 WHEELER ST, INDIANAPOLIS, IN 46218-2831
(317) 908-9446
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24-017699-1
IN
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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