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Mia Wallace
Non-emergency Medical Transport (VAN) in Indianapolis, Indiana
NPI 1972125078

Mia Wallace is a Non-emergency Medical Transport (VAN) based in Indianapolis, IN. Mia Wallace practices in Indianapolis, IN. The NPI Number for Mia Wallace is 1972125078 and holds a License No. (Indiana).

The current practice location address for Mia Wallace is 9165 Otis Ave Ste 232, Indianapolis, IN and can be reached out via phone at 317-560-8522.

Location: 9165 Otis Ave Ste 232, Indianapolis, IN, 46216-2317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972125078
Provider Name
Mia Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
9165 Otis Ave Ste 232, Indianapolis, IN, 46216-2317
Phone Number
317-560-8522
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9165 Otis Ave Ste 232
City
Indianapolis
State
Indiana
Zip
46216-2317
Phone Number
317-560-8522
Fax Number
person
Provider Business Mailing Address Details
Address
9165 Otis Ave Ste 232
City
Indianapolis
State
Indiana
Zip
46216-2317
Phone Number
317-560-8522
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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