Individual
MS. HEATHER LEE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 SANDHILL RD APT 3, ESSEX JUNCTION, VT 05452-3417
(802) 310-0263
Mailing address
PO BOX 3075, BURLINGTON, VT 05408-3075
(802) 310-0263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0250009381
VT
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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