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Individual

WHITNEY A LIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2720 EMBASSY ROW, INDIANAPOLIS, IN 46224-2903
(317) 332-0784
Mailing address
2720 EMBASSY ROW, INDIANAPOLIS, IN 46224-2903
(317) 332-0784

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
23-016349-1
IN

Other

Enumeration date
04/20/2024
Last updated
04/20/2024
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