FAITH ELIZABETH ETHERINGTON

FORT WAYNE, IN
NPI1326682931
Former NameFAITH ROLWES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002881A)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-11-06
Last Update Date2022-05-18
Business Address
FAITH ELIZABETH ETHERINGTON PA
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
FAITH ELIZABETH ETHERINGTON PA
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 866-413-9534