KRISTINA SHIVELY

FORT WAYNE, IN
NPI1679162275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27059092A)
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
KRISTINA SHIVELY LPN
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
KRISTINA SHIVELY LPN
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number:
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