Individual
LA'TOSHA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5317 HEDGEROW DR, INDIANAPOLIS, IN 46226-1623
(317) 629-2894
Mailing address
5317 HEDGEROW DR, INDIANAPOLIS, IN 46226-1623
(317) 629-2894
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24-018320
IN
376J00000X
Homemaker
24-018320
IN
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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