Individual
HEATHER MILDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 MAIN ST APT D, GENOA, OH 43430-1683
(419) 261-8301
Mailing address
806 MAIN ST APT D, GENOA, OH 43430-1683
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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