Inniss M Tarawollie
Inniss M Tarawollie is a Prosthetic/Orthotic Supplier in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2021
Practice location Address checks out
5108 W 38th StIndianapolis, IN 46254-3326
Phone: (317) 760-7180
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence BC20501718 (IN) |
|---|
Record details
| NPI number | 1386306231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | August 26, 2024 |
| Certification date | August 26, 2024 |
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