ASHANTE R PROTHO

GARY, IN
NPI1134786916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27066102A)
Enumeration Date2019-05-28
Last Update Date2019-05-28
Business Address
ASHANTE R PROTHO
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
ASHANTE R PROTHO
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number:
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