KIZZY SPAIN

INDIANAPOLIS, IN
NPI1194577791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2024-04-05
Last Update Date2024-04-05
Business Address
KIZZY SPAIN
2439 N BOLTON AVE
INDIANAPOLIS, IN 46218-4131
Phone number: 317-960-6612
Mailing Address
KIZZY SPAIN
2439 N BOLTON AVE
INDIANAPOLIS, IN 46218-4131
Phone number: 317-960-6612
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DIVINE SOURCE CARE, LLC