Individual
CORNELIA WINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 855-4264
Mailing address
2437 W 21ST AVE, GARY, IN 46404-3032
(219) 716-1996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270620025A
IN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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