Individual
BELINDA R HEIDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
161 LYELL ST, SPENCERPORT, NY 14559-9561
(585) 490-6926
Mailing address
161 LYELL ST, SPENCERPORT, NY 14559-9561
(585) 490-6926
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 271172
NY
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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