Individual
HEATHER L TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.147322-M-IV
OH
164W00000X
Licensed Practical Nurse
PN147322-M-IV
OH
Other
Enumeration date
12/05/2014
Last updated
05/26/2016
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