PATIENCE TIERI

LAKE STATION, IN
NPI1720511785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007027A)
Enumeration Date2017-04-06
Last Update Date2018-07-23
Business Address
PATIENCE TIERI
2490 CENTRAL AVE
LAKE STATION, IN 46405
Phone number: 219-763-8112
Mailing Address
PATIENCE TIERI
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112