CAROLINE MATVYA

FORT WAYNE, IN
NPI1073623419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71001142A)
Enumeration Date2006-08-30
Last Update Date2007-12-06
Business Address
-- CAROLINE MATVYA
1010 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825-4155
Phone number: 269-450-3096
Mailing Address
-- CAROLINE MATVYA
PO BOX 15753
FORT WAYNE, IN 46885-5753
Phone number:
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