Individual
MRS. HEATHER KUPETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13883 DRAKE RD, STRONGSVILLE, OH 44136-7918
(440) 268-5677
Mailing address
19982 ENNIS DR, STRONGSVILLE, OH 44149-0990
(440) 539-0490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283545
OH
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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