Most Relevant Information
Provider Data
| NPI Number: | 1003427212 |
| Provider Name: | BETRIA MCCLOUD HLP |
| Entity Type: | Individual |
| Taxonomy Code: | 224P00000X |
| Specialty: | Prosthetist |
| License Number: | CI21700032 |
Most Important Dates
| Enumeration Date: | 08/11/2020 |
| Last Updated: | 08/11/2020 |
Provider Practice Location
2508 E 146TH ST STE 107
CARMEL
IN
460337714
Practice Location Phone/Fax
| Phone: | 3175064390 |
| Fax: |
Provider Mailing Location
7236 TWIN OAKS DR APT C
INDIANAPOLIS
IN
462265740
Provider Mailing Phone/Fax
| Phone: | 3175064390 |
| Fax: |