Individual
RASHIDA SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1819 CENTRAL AVE, INDIANAPOLIS, IN 46202-1608
(317) 525-3679
Mailing address
1819 CENTRAL AVE, INDIANAPOLIS, IN 46202-1608
(317) 525-3679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280849A
IN
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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