Individual
LORRAJEAN A GLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 EASTGATE CIRCLE, MISHAWAKA, IN 46544
(574) 386-7212
Mailing address
203 EASTGATE CIRCLE, MISHAWAKA, IN 46544
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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