Individual
MRS. CYNTHIA A HEIDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 CENTRAL SCHOOL RD, BELLEVILLE, IL 62220-3265
(618) 233-5377
Mailing address
105 W A ST, BELLEVILLE, IL 62220-1326
(618) 234-4294
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041255265
IL
Other
Enumeration date
11/07/2017
Last updated
03/17/2018
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