Individual
VANDA JOANN NUNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MATS
Contact information
Practice address
4265 S A ST, RICHMOND, IN 47374-6049
(765) 962-8843
(765) 373-9918
Mailing address
PO BOX 72, LOSANTVILLE, IN 47354-0072
(765) 914-6268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MATS-5153
IN
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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