Individual
BRENDA HEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 COLLEGE AVE STE 3, ELMIRA, NY 14901-1154
(607) 733-4504
Mailing address
522 PHOENIX AVE, ELMIRA, NY 14904-2446
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290271
NY
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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