Most Relevant Information
Provider Data
| NPI Number: | 1003664657 |
| Provider Name: | LATOYA A TEMPLE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: | 24-017081-1 |
Most Important Dates
| Enumeration Date: | 05/08/2024 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
9619 E 37TH PL
INDIANAPOLIS
IN
462352104
Practice Location Phone/Fax
| Phone: | 3176195763 |
| Fax: |
Provider Mailing Location
9619 E 37TH PL
INDIANAPOLIS
IN
462352104
Provider Mailing Phone/Fax
| Phone: | 3176195763 |
| Fax: |