Individual
CARISSA HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 479-5000
Mailing address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 479-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014221A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2023
Last updated
08/15/2023
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