Individual
MRS. LATOSHA RENE TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 CARESSA WAY, INDIANAPOLIS, IN 46259-1473
(765) 240-6752
Mailing address
6510 CARESSA WAY, INDIANAPOLIS, IN 46259-1473
(765) 240-6752
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IN
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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