Maple Leaf Pain Relief

NPI #1114469277 in South Bend, Indiana

Provider Information

NPI Number
1114469277
Entity Type
Organization
Organization Name
Maple Leaf Pain Relief
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 7, 2016
Last Updated
Nov 7, 2016

Practice Location

Address
908 E IRELAND RD
State
Indiana
ZIP Code
46614-2664
Phone
(214) 284-1420

Authorized Official

Name
SHANNON ROBERTS
Title
OWNER
Phone
(214) 284-1420

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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