Individual
SAMUEL MAINA GICHUHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1049 TENNESSEE AVE, FORT WAYNE, IN 46805-4267
(614) 607-1727
Mailing address
1049 TENNESSEE AVE, FORT WAYNE, IN 46805-4267
(614) 607-1727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28206161A
IN
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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