JADE ELISE LAW

FORT WAYNE, IN
NPI1477398360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
(Licence: IN  PTC8958)
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
JADE ELISE LAW PTC
4737 HEATHERWIND DR
FORT WAYNE, IN 46815-7134
Phone number: 260-302-8529
Mailing Address
JADE ELISE LAW PTC
4604 HEATHERWIND DR APT D
FORT WAYNE, IN 46815-7136
Phone number:
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