Individual
DESIREE LYNN HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 MORGANTOWN AVE STE 120, FAIRMONT, WV 26554-4384
(304) 363-7375
(304) 471-2488
Mailing address
PO BOX 725, BARRACKVILLE, WV 26559-0725
(304) 502-2216
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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