Individual
ALICIA DOLORES MI ESPERANZA MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 BARNHILL DR, INDIANAPOLIS, IN 46202
(317) 274-4966
Mailing address
545 BARNHILL DR, INDIANAPOLIS, IN 46202-5112
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
11/10/2020
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