Individual
DIANE J UNSICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 HUDSON ST, ELKHART, IN 46516-2023
(574) 522-0104
(574) 522-1902
Mailing address
1400 HUDSON ST, ELKHART, IN 46516-2023
(574) 522-0104
(574) 522-1902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
28048251A
IN
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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