Individual
HEATHER LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHDH
Contact information
Practice address
402 E SOUTH 1ST ST, HERRICK, IL 62431-1600
(217) 254-2816
Mailing address
402 E SOUTH 1ST ST, HERRICK, IL 62431-1600
(217) 254-2816
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
L20014077
IL
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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