Bianca Roberta Herndon, LPN

NPI #1003864422 in Fort Campbell, Kentucky

Provider Information

NPI Number
1003864422
Entity Type
Individual
Name
Bianca Roberta Herndon, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 5, 2006
Last Updated
Jan 8, 2009

Practice Location

Address
BLDG 5979 DESERT STORM AVE
Address 2
LAPOINTE HEALTH CLINIC
ZIP Code
42223-5349
Phone
(270) 956-0302

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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