Individual
MRS. ANGELA RAE HECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
620 S BOSTON ST, GALION, OH 44833-3202
(419) 777-7396
Mailing address
620 S BOSTON ST, GALION, OH 44833-3202
(419) 777-7396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 111947
OH
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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