FRED BENSON

FORT WAYNE, IN
NPI1639899297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: IN  27064077A)
Enumeration Date2022-09-01
Last Update Date2022-09-01
Business Address
FRED BENSON Owner
2478 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-387-6396
Mailing Address
FRED BENSON Owner
2478 LAKE AVE
FORT WAYNE, IN 46805-5406
Phone number: 260-387-6396