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Individual

EPHRAIM NDERITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1515 ORKNEY DR, SOUTH BEND, IN 46614-3525
(574) 309-0377
Mailing address
1515 ORKNEY DR, SOUTH BEND, IN 46614-3525
(574) 309-0377

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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