Individual
HEATHER M OLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
230 E MAIN ST, ORWELL, OH 44076-9430
(440) 313-1002
Mailing address
230 E MAIN ST, ORWELL, OH 44076-9430
(440) 313-1002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136189-M-IV
OH
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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