Individual
MS. HEATHER A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
21043 FOSTORIA RD, LUCKEY, OH 43443-9732
(419) 559-3558
Mailing address
21043 FOSTORIA RD, LUCKEY, OH 43443-9732
(419) 559-3558
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
377354430598
OH
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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