Individual
MR. WILLIE B GOLDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3011 N FRANKLIN RD, SMC CORPORATION OF AMERICA, INDIANAPOLIS, IN 46226-6308
(317) 603-3668
Mailing address
5706 RENN LN, INDIANAPOLIS, IN 46254-2300
(317) 387-1363
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
49019812782
IN
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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