RIEKETTA WILLIS

Technician - Attendant Care Provider

Active Individual
NPI: 1790378073

Practice Address

2055 N KEYSTONE AVE
Indianapolis, IN 46218

Phone: (317) 658-9315

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X No 20-015099-1 (IN)
Home Health Aide 374U00000X No 20-015099-1 (IN)
Homemaker 376J00000X No 20-015099-1 (IN)
Technician - Attendant Care Provider 3747A0650X Yes 20-015099-1 (IN)

Frequently Asked Questions

NPI 1790378073 is the National Provider Identifier for RIEKETTA WILLIS, a Technician - Attendant Care Provider provider located in Indianapolis, IN. This NPI was enumerated on February 17, 2021.
RIEKETTA WILLIS practices at 2055 N KEYSTONE AVE, Indianapolis, IN 46218.

Quick Facts

NPI
1790378073
Type
Individual
Enumerated
Feb 17, 2021
Last Updated
Feb 17, 2021

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