Individual
MS. TERESA SUZANNE HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 RIVERMET AVE, FORT WAYNE, IN 46805-4231
(260) 426-2118
(260) 426-2118
Mailing address
1024 RIVERMET AVE, FORT WAYNE, IN 46805-4231
(260) 426-2118
(260) 426-2118
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/09/2007
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