Individual
MRS. HEATHER IAQUINTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(937) 253-0606
Mailing address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(937) 253-0606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-430679
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/03/2016
Last updated
06/01/2021
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