Individual
BILLIE MARIE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 WATERFORD CIR, GOSHEN, IN 46526-5585
(574) 534-3920
(574) 533-8232
Mailing address
1212 WATERFORD CIR, GOSHEN, IN 46526-5585
(574) 534-3920
(574) 533-8232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27059733A
IN
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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