Individual
HEATHER IANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ROTHERMEL DR, YEAGERTOWN, PA 17099-9707
(717) 248-8197
Mailing address
25 ROTHERMEL DRIVE, YEAGERTOWN, PA 17099
(717) 248-8197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN294917
PA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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