Individual
HEATHER JENEE WOGOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 GREENMOOR DR, ARCANUM, OH 45304-1420
(937) 564-2624
Mailing address
107 GREENMOOR DR, ARCANUM, OH 45304-1420
(937) 564-2624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
322736
OH
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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