NPI 1720389000

Terrance Desmond Eppenger, HHA

Practitioner Community Health Worker South Bend, IN

Practice location

Address: 906 Huey St, South Bend, IN 46628-2509
Phone: (574) 229-3318

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence HHA0800371 (IN)

Other Community Health Worker providers in Indiana →

Registry record

NPI: 1720389000
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2010
Record last updated: 3 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.