Individual
MICHELLE R HIESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1092 DONALD DR, GREENVILLE, OH 45331-2545
(937) 569-1578
Mailing address
1092 DONALD DR, GREENVILLE, OH 45331-2545
(937) 569-1578
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
OH
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
02/02/2021
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