Search › Indiana › 2255A2300X

Jolene Pangani, ATC

NPI 1104380898 · on the registry since 2019 · sole proprietor

Practice

Address
19600 Dubois Ave
South Bend, IN 46637
Phone
(574) 344-6742

Additional practice sites

  • 1325 Williams St, Adrian, MI

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
390200000X
Licence states on file
MI, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-03

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