Individual
JEFFREY KVIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
505 QUEENSBORO AVE, MISHAWAKA, IN 46544-1591
(574) 520-3736
Mailing address
505 QUEENSBORO AVE, MISHAWAKA, IN 46544-1591
(574) 520-3736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28211382A
IN
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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