KIERSTEN RENE CARRICO

FORT WAYNE, IN
NPI1508203597
Former NameKIERSTEN RENE YAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  1001557A)
Enumeration Date2013-05-30
Last Update Date2024-12-19
Business Address
KIERSTEN RENE CARRICO PA-C
7950 W JEFFERSON BLVD SUTIE 2121
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7937
Mailing Address
KIERSTEN RENE CARRICO PA-C
10351 DAWSONS CREEK BLVD SUITE A-1
FORT WAYNE, IN 46825-1904
Phone number: 260-203-9600
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