NPI | 1306022777 |
---|---|
Other Name | SUE A DITTMAR |
Entity Type | Organization |
Authorized Contact | SUE A DITTMAR Trustee Assessor 574-656-4587 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: IN 0187) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2016-06-23 |