Individual
LOGAN HERNBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E BUCKTHORN RD, DERBY, KS 67037-3839
(970) 690-3898
Mailing address
124 E BUCKTHORN RD, DERBY, KS 67037-3839
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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