Individual
JEYDA DELREESE GRUEL-FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7008 BLUFFTON RD, FORT WAYNE, IN 46809-2706
(260) 747-4136
(260) 747-4137
Mailing address
5426 TOMAHAWK TRL, FORT WAYNE, IN 46804-4938
(260) 602-4371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020088A
IN
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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