Mackenna Lee Vandertuin

NPI #1447872197 in Demotte, Indiana

Provider Information

NPI Number
1447872197
Entity Type
Individual
Name
Mackenna Lee Vandertuin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
May 15, 2020
Last Updated
May 15, 2020

Practice Location

Address
400 11TH CIRCLE SE
State
Indiana
ZIP Code
46310
Phone
(219) 742-7641

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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