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Sara Matteucci
NPI 1588066914 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3102 Mallard Cove Ln
Fort Wayne, IN 46804 - Phone
- (317) 435-7045
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana