Individual
GWYNETH MARIE TROUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2717 LOCUST ST, PORTAGE, IN 46368-2829
(219) 314-6245
Mailing address
2717 LOCUST ST, PORTAGE, IN 46368-2829
(219) 314-6245
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1803142
IN
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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