Individual
CAROLE S HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SUNSET ST, MOUNT VERNON, OH 43050-1618
(614) 741-6851
Mailing address
112 SUNSET ST, MOUNT VERNON, OH 43050-1618
(614) 741-6851
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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