Individual
JULIE HEASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
627 AMOR PL, VANDALIA, OH 45377-1807
(231) 360-9132
Mailing address
627 AMOR PL, VANDALIA, OH 45377-1807
(231) 360-9132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
376878
OH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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