Individual
CHRISTINA ANITA PENTSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
527 CAMAIORE CV, FORT WAYNE, IN 46845-0001
(260) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28165638A
IN
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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