Search › Indiana › 253Z00000X
Latoya Wilson, CEO
NPI 1114765047 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4114 N Irvington Ave
Indianapolis, IN 46226 - Phone
- (317) 200-6078
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 372600000X
3747P1801X
376J00000X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana