Individual
PATRICE D DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMA
Contact information
Practice address
5629 LIBERTY CREEK DR E, INDIANAPOLIS, IN 46254-1003
(317) 492-3009
Mailing address
5629 LIBERTY CREEK DR E, INDIANAPOLIS, IN 46254-1003
(317) 492-3009
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
24-016264-1
IN
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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