NPI 1053819458

Denise Michelle Strom, COSMETOLOGIST

Practitioner Specialist Indianapolis, IN

Practice location

Address: 8620 Purdue Rd, Indianapolis, IN 46268-1114
Phone: (317) 879-5563

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1053819458
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2018
Record last updated: 31 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.