DIANA ROSE POORTENGA

MUNSTER, IN
NPI1780207332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28213590A)
Enumeration Date2020-05-18
Last Update Date2020-05-18
Business Address
DIANA ROSE POORTENGA
8135 CALUMET AVE
MUNSTER, IN 46321-1701
Phone number: 219-513-2000
Mailing Address
DIANA ROSE POORTENGA
8135 CALUMET AVE
MUNSTER, IN 46321-1701
Phone number: 219-513-2000
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