VERNICE STREET

FORT WAYNE, IN
NPI1366196008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2278C0205X Respiratory Therapist, Certified, Critical Care
(Licence: IN  3003273A)
Enumeration Date2022-02-11
Last Update Date2022-02-11
Business Address
VERNICE STREET CRTT
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
VERNICE STREET CRTT
1918 ARDMORE AVE APT 43
FORT WAYNE, IN 46802-4822
Phone number: 260-246-8816
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