Individual
COURTNEY JEANETTE FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 STOKES AVE, NOBLESVILLE, IN 46062-0043
(317) 869-2800
Mailing address
6404 STOKES AVE, NOBLESVILLE, IN 46062-0043
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
24-017381-1
IN
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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