Individual
RENE VICHARA PIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3719 S WESTERN AVE, MARION, IN 46953-4828
(765) 293-8485
Mailing address
3719 S WESTERN AVE, MARION, IN 46953-4828
(317) 515-0131
(765) 293-8485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
07/08/2025
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