Individual
BETHLEHEM SENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 APPLE GLEN BLVD, FORT WAYNE, IN 46804-1725
(260) 432-9330
Mailing address
2010 ARDMORE AVE APT 77, FORT WAYNE, IN 46802-4831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026262A
IN
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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