JACQUELINE KAY ROMAN

FORT WAYNE, IN
NPI1629763297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27037603A)
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
JACQUELINE KAY ROMAN LPN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
JACQUELINE KAY ROMAN LPN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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