Demetrius Frierson
Contractor in Indianapolis, IN. Individual provider (NPI-1).
NPI number1093494585
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1093494585
- Entity type
- Individual (NPI-1)
- Name
- Demetrius Frierson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2023
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
7098 N Shadeland Ave Ste FIndianapolis, IN 46220-4275
Phone 317-771-3006
Mailing address
7098 N Shadeland Ave Ste FIndianapolis, IN 46220-4275
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