MACKENNA LEE VANDERTUIN

DEMOTTE, IN
NPI1447872197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2020-05-15
Last Update Date2020-05-15
Business Address
MACKENNA LEE VANDERTUIN
400 11TH CIRCLE SE
DEMOTTE, IN 46310
Phone number: 219-742-7641
Mailing Address
MACKENNA LEE VANDERTUIN
400 11TH CIRCLE SE
DEMOTTE, IN 46310
Phone number: 219-742-7641