Individual
CEARA D FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 TENNESSEE AVE, FORT WAYNE, IN 46805-4265
(260) 804-2712
Mailing address
1044 TENNESSEE AVE, FORT WAYNE, IN 46805-4265
(260) 804-2712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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