Individual
HEATHER HODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 S MAIN ST, SALT LAKE CITY, UT 84111-2176
(919) 260-1968
Mailing address
18543 GAINEY LN, PONCHATOULA, LA 70454-4807
(985) 320-1872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156817
LA
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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