Individual
MRS. TERESA MICHELE FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
815 S PENN ST, MUNCIE, IN 47302-2559
(765) 372-8072
Mailing address
815 S PENN ST, MUNCIE, IN 47302-2559
(765) 372-8072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BC20705312
IN
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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