Individual
MRS. DENISE RENEE VANNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT/RRT
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 421-1834
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
30005816A
IN
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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