AMENA KHAZARAN

DYER, IN
NPI1689225138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009412A)
Enumeration Date2019-09-26
Last Update Date2023-09-07
Business Address
AMENA KHAZARAN
875 JOLIET ST
DYER, IN 46311-1920
Phone number: 219-440-7340
Mailing Address
AMENA KHAZARAN
875 JOLIET ST
DYER, IN 46311-1920
Phone number: 219-440-7340