Individual
MRS. HEATHER SUE HOLENCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN-RN, IBCLC
Contact information
Practice address
1401 GARFIELD AVE, SALEM, OH 44460
(330) 881-3473
Mailing address
1401 GARFIELD AVE, SALEM, OH 44460
(330) 881-3473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-352101
OH
163WL0100X
Lactation Consultant (Registered Nurse)
L-127767
OH
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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