Individual
HEATHER LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HARLEY DAVIDSON LN, SALEM, WV 26426-7700
(304) 517-4067
Mailing address
90 HARLEY DAVIDSON LN, SALEM, WV 26426-7700
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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