Most Relevant Information
Provider Data
| NPI Number: | 1003654112 |
| Provider Name: | MABEL SPIO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
340 W 10TH ST STE 6200
INDIANAPOLIS
IN
462023082
Practice Location Phone/Fax
| Phone: | 3172748157 |
| Fax: |
Provider Mailing Location
340 W 10TH ST STE 6200
INDIANAPOLIS
IN
462023082
Provider Mailing Phone/Fax
| Phone: | 3172748157 |
| Fax: |