Individual
MS. MICHELLE DENISE HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 7TH ST, DES MOINES, IA 50314-2836
(515) 865-4669
Mailing address
1609 7TH ST, DES MOINES, IA 50314-2836
(515) 865-4669
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102523
—
IA
Enumeration date
07/02/2018
Last updated
07/02/2018
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