Individual
ALMA DELIA COUNSELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
Mailing address
1306 S 29TH ST, SOUTH BEND, IN 46615-1808
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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