Individual
MRS. GRETCHEN DANIELLE HEUBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
418 GILMORE ST, KENTON, OH 43326-1608
(419) 674-3121
Mailing address
418 GILMORE ST, KENTON, OH 43326-1608
(419) 674-3121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.136448-IV
OH
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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