Individual
DR. NICOLE' LAFRA'NCE FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
412 S SCOTT RD, FORT WAYNE, IN 46814-9702
(260) 358-7180
Mailing address
1009 MECHANIC ST, ANGOLA, IN 46703-2370
(540) 538-6875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
06/16/2021
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