MIMZY VANESSA BOHANNON

MISHAWAKA, IN
NPI1912692807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27067174A)
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
MIMZY VANESSA BOHANNON
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
Mailing Address
MIMZY VANESSA BOHANNON
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
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