Individual
MR. RICHARD P HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
228 E SECOND ST, MEDIA, PA 19063-3032
(610) 565-3658
(610) 259-9835
Mailing address
228 E SECOND ST, MEDIA, PA 19063-3032
(610) 565-3658
(610) 259-9835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN064949L
PA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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