Individual
YVETTE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7229 KENSINGTON DR E, FORT WAYNE, IN 46818-8854
(260) 438-9753
Mailing address
7229 KENSINGTON DR E, FORT WAYNE, IN 46818-8854
(260) 438-9753
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N202000376
ASSUMED BUISSINESS
IN
Enumeration date
02/08/2023
Last updated
06/03/2025
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