MAPLE LEAF PAIN RELIEF

SOUTH BEND, IN
NPI1114469277
Entity TypeOrganization
Authorized ContactSHANNON ROBERTS
Owner
214-284-1420
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2016-11-07
Last Update Date2016-11-07
Business Address
MAPLE LEAF PAIN RELIEF
908 E IRELAND RD
SOUTH BEND, IN 46614-2664
Phone number: 214-284-1420
Mailing Address
MAPLE LEAF PAIN RELIEF
6628 GREENRIDGE DR
INDIANAPOLIS, IN 46278-1184
Phone number:
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