Individual
HEATHER MARIE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9628 BRYANT RD, FREDERICKTOWN, OH 43019-9521
(740) 341-8114
Mailing address
9628 BRYANT RD, FREDERICKTOWN, OH 43019-9521
(740) 341-8114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.090466
OH
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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