CHRIS J TREACE

FORT WAYNE, IN
NPI1093880833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: IN  28123633A)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- CHRIS J TREACE RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
-- CHRIS J TREACE RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700