Wanda Bontrager

NPI #1093090730 in Goshen, Indiana

Provider Information

NPI Number
1093090730
Entity Type
Individual
Name
Wanda Bontrager
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 13, 2011
Last Updated
Oct 13, 2011

Practice Location

Address
404 MOUNT VERNON DR
City
Goshen
State
Indiana
ZIP Code
46526-1432
Phone
(574) 533-4933

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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