Individual
MARIA MACRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19299 EDINBURGH DR, SOUTH BEND, IN 46614-5865
(574) 855-1913
Mailing address
19299 EDINBURGH DR, SOUTH BEND, IN 46614-5865
(574) 855-1913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163W0000X
IN
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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