Individual
TIERRA TAVON MOSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5251 S EAST ST STE 214B, INDIANAPOLIS, IN 46227-2052
(317) 240-1024
Mailing address
5251 S EAST ST STE 214B, INDIANAPOLIS, IN 46227-2052
(317) 240-1024
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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