Individual
JUDITH HETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
295 OWL CREEK RD, LUCASVILLE, OH 45648-9516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN414965
OH
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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