Individual
ERIELLE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4422 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
RBT-20-114822
IN
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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