Individual
SUMMIYA NASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15910 BALLANTYNE TRL, HUNTERTOWN, IN 46748
(260) 354-9432
Mailing address
15910 BALLANTYNE TRL, HUNTERTOWN, IN 46748
(260) 354-9432
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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