Individual
MS. DARDEN R HEAVELYN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
697 COUNTRY CLUB RD LOT 25, CADIZ, OH 43907-9470
(740) 491-8916
Mailing address
697 COUNTRY CLUB RD LOT 25, CADIZ, OH 43907-9470
(740) 491-8916
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
134676M-IV
OH
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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