MAKAYLA BLAIN

FORT WAYNE, IN
NPI1821606500
Former NameMAKAYLA LAWSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010155A)
Enumeration Date2020-07-17
Last Update Date2022-03-13
Business Address
MAKAYLA BLAIN NP
1721 MAGNAVOX WAY STE B
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
Mailing Address
MAKAYLA BLAIN NP
1721 MAGNAVOX WAY STE B
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650