Individual
MS. KIMBERLY DAWN HEUBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12575 CADEK RD, HIRAM, OH 44234-9716
(330) 569-7424
Mailing address
12575 CADEK RD, HIRAM, OH 44234-9716
(330) 569-7424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222624
OH
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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