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Individual

HELLEN GATHESHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 N HICKORY RD STE 3, SOUTH BEND, IN 46615-3700
(574) 314-5987
Mailing address
1001 N HICKORY RD STE 3, SOUTH BEND, IN 46615-3700
(574) 314-5987

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0301823
IN

Other

Enumeration date
06/30/2020
Last updated
09/10/2021
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