Individual
HEATHER RENEE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4870 STATE ROUTE 37 W, JUNCTION CITY, OH 43748-9716
(740) 503-2633
Mailing address
4870 STATE ROUTE 37 W, JUNCTION CITY, OH 43748-9716
(740) 503-2633
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 136647-M-IV
OH
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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