SearchIndiana101YA0400X

Acquinnetta Doughty

NPI 1710359781 · on the registry since 2015 · sole proprietor

Practice

Address
490 W 23rd Ave
Gary, IN 46407
Phone
(219) 333-7619
Organisation at this address
Syde By Syde Changes Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-04

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