Individual
HEATHER LYNN WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
473 S BROADWAY, PERU, IN 46970-2833
(765) 460-5278
Mailing address
473 S BROADWAY, PERU, IN 46970-2833
(765) 460-5278
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1002735
IN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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