KENDRA DE VRIES

MUNSTER, IN
NPI1922647460
Former NameKENDRA POEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009822A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28204066A)
Enumeration Date2020-01-02
Last Update Date2020-02-20
Business Address
KENDRA DE VRIES
503 OTIS BOWEN DR
MUNSTER, IN 46321-4158
Phone number: 219-703-5152
Mailing Address
KENDRA DE VRIES
503 OTIS BOWEN DR
MUNSTER, IN 46321-4158
Phone number: