Individual
JEANNINE MARIE HERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
124 DENHAM AVE, SOMERSET, MA 02726-3776
(508) 863-3570
Mailing address
124 DENHAM AVE, SOMERSET, MA 02726-3776
(508) 863-3570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99511
MA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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