| NPI | 1740804566 |
|---|---|
| Other Name | TRAVEL LEISURE @ 501 W. CHURCH |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN President 317-522-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2025-12-04 |