Individual
MRS. HEIDI ANN MAROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 SOUTH VINE ST, DESHLER, OH 43516
(419) 806-8217
Mailing address
301 SOUTH VINE ST, DESHLER, OH 43516
(419) 806-8217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
163426
OH
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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