Individual
DANIEL HEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Mailing address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.104765-M-IV
OH
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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