SARAH MELISSA AGBADA POLISTICO

LA PORTE, IN
NPI1467014449
Former NameSARAH MELISSA BARBONO AGBADA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IN  01085776A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-01
Last Update Date2021-09-14
Business Address
Dr. SARAH MELISSA AGBADA POLISTICO MD
1509 STATE ST
LA PORTE, IN 46350-3115
Phone number: 219-324-3431
Mailing Address
Dr. SARAH MELISSA AGBADA POLISTICO MD
2022 KELLE DR
CHESTERTON, IN 46304-8708
Phone number: 219-364-4004