Individual
CASSANDRA GULDBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 VANCE AVE, FORT WAYNE, IN 46805-2156
(260) 246-2583
Mailing address
1218 VANCE AVE, FORT WAYNE, IN 46805-2156
(260) 246-2583
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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