Individual
MS. PENNY SUE HEAVILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RVT, RT(R)(M)
Contact information
Practice address
1003 CHARNWOOD PKWY, BEECH GROVE, IN 46107-3307
(317) 780-8935
Mailing address
1003 CHARNWOOD PKWY, BEECH GROVE, IN 46107-3307
(317) 780-8935
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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