Individual
LARAE HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1303 N MAIN, CEDAR CITY, UT 84720
(435) 868-5251
Mailing address
1303 N MAIN, CEDAR CITY, UT 84720
(435) 868-5251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279749-3102
UT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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