Individual
MRS. FABIOLA SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4671
(574) 293-4052
Mailing address
135 RIVERVIEW AVENUE, ELKHART, IN 46516
(574) 333-3448
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IN
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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