Individual
TONYETTA ELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9819 BITTER END CV, FORT WAYNE, IN 46835-9649
(260) 418-3543
Mailing address
9819 BITTER END CV, FORT WAYNE, IN 46835-9649
(260) 418-3543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
08/25/2021
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