Individual
JASMINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 W 59TH ST, INDIANAPOLIS, IN 46228-1722
(317) 457-1163
Mailing address
4164 N BUTLER AVE, INDIANAPOLIS, IN 46226-4628
(317) 457-1163
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IN
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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