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Suzett Moffitt

NPI 1295147718 · on the registry since 2014 · sole proprietor

Practice

Address
2401 N Tibbs Ave
Indianapolis, IN 46222
Phone
(317) 755-7664
Fax
(317) 955-7567
Organisation at this address
Suzy Q Service Cororation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
251G00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana