Individual
MR. NATHAN R HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
769 SUNSET BLVD APT 8, MANSFIELD, OH 44907-2660
(419) 631-3687
Mailing address
769 SUNSET BLVD APT 8, MANSFIELD, OH 44907-2660
(419) 631-3687
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
174200000X
Meals Provider
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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