Individual
DAISHA JANAY HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PRISCILLA AVE, INDIANAPOLIS, IN 46219-3213
(317) 331-8146
Mailing address
1401 PRISCILLA AVE, INDIANAPOLIS, IN 46219-3213
(317) 331-8146
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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