Organization
STUDIO I LLC
Active
Organization
STUDIO I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARIE SUZANNE CONARD CFM, CMF (OWNER)
(574) 231-6470
Entity
Organization
Contact information
Practice address
5340 HOLY CROSS PKWY STE 110, MISHAWAKA, IN 46545-1470
(574) 231-6470
(574) 231-6472
Mailing address
5340 HOLY CROSS PKWY STE 110, MISHAWAKA, IN 46545-1470
(574) 231-6470
(574) 231-6472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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