Individual
DAYDREAM JAMANTOC DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
10122 E 10TH ST STE 220, INDIANAPOLIS, IN 46229-2664
(317) 355-2200
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71016148A
IN
Other
Enumeration date
12/16/2024
Last updated
01/21/2025
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