SUSAN HATHAWAY

PORTLAND, IN
NPI1093365355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-18
Last Update Date2019-09-18
Business Address
SUSAN HATHAWAY
3783 WEST 800 SOUTH
PORTLAND, IN 47371
Phone number: 260-729-1153
Mailing Address
SUSAN HATHAWAY
P.O. BOX 24
PORTLAND, IN 47371
Phone number: