Individual
MRS. HEATHER ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
630 DORMAN RD, CONNEAUT, OH 44030-9666
(440) 813-9908
Mailing address
630 DORMAN RD, CONNEAUT, OH 44030-9666
(440) 813-9908
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 105365 MEDS
OH
Other
Enumeration date
09/17/2008
Last updated
03/18/2016
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