Individual
JAELYN MARIAH RUFENACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3368
Mailing address
1714 COUNTY ROAD 20, ARCHBOLD, OH 43502-9762
(419) 966-2463
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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