Individual
GRACIELA G HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SUNSET ST, MOUNT VERNON, OH 43050-1618
(567) 908-9955
Mailing address
108 SUNSET ST, MOUNT VERNON, OH 43050
(567) 908-9955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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