Individual
MAUREEN KIOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8911 LIBERTY MILLS RD, FORT WAYNE, IN 46804-6311
(260) 373-9465
(260) 266-9406
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28241254A
IN
363L00000X
Nurse Practitioner
Primary
71015589A
IN
Other
Enumeration date
07/11/2024
Last updated
11/04/2024
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