NPI 1063044006

Tamara Mayo

Practitioner Contractor Indianapolis, IN

Practice location

Address: 2346 S Lynhurst Dr STE 200, Indianapolis, IN 46241-5135
Phone: (317) 502-1456

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1063044006
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2020
Record last updated: 7 Feb 2020

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.