AMETRIA RUSSELL

FORT WAYNE, IN
NPI1194208348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
AMETRIA RUSSELL
7209 ENGLE RD
FORT WAYNE, IN 46804-2238
Phone number: 260-484-4600
Mailing Address
AMETRIA RUSSELL
7209 ENGLE RD
FORT WAYNE, IN 46804-2238
Phone number: 260-484-4600
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