Individual
MARY ANN DETMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
816 RUDOLPH WAY, GREENDALE, IN 47025-8312
(812) 537-1668
(812) 537-4078
Mailing address
816 RUDOLPH WAY, GREENDALE, IN 47025-8312
(812) 537-1668
(812) 537-4078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27033033A
IN
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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