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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