Individual
MS. HEATHER ALLYN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
5766 DORIS DR, BROOK PARK, OH 44142-2108
(216) 502-0268
Mailing address
5766 DORIS DR, BROOK PARK, OH 44142-2108
(216) 502-0268
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.087382-MEDS
OH
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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