Individual
JUDITH FAKHEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9547 W CONSTELLATION DR, PENDLETON, IN 46064-7510
(317) 366-6517
Mailing address
9547 W CONSTELLATION DR, PENDLETON, IN 46064-7510
(317) 366-6517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27070914A
IN
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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