HAMUTYINEI H MAMUTSE

FORT WAYNE, IN
NPI1033742184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.026184)
Enumeration Date2020-02-18
Last Update Date2020-02-18
Business Address
HAMUTYINEI H MAMUTSE
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
Mailing Address
HAMUTYINEI H MAMUTSE
PO BOX 392552
PITTSBURGH, PA 15251-9500
Phone number: 260-483-9081