ODELIA JETMORE

FORT WAYNE, IN
NPI1093400848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: IN  28079567A)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: IN  28079567)
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
ODELIA JETMORE RN MSN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
ODELIA JETMORE RN MSN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431