MRS. Heather Nicole Dezarn

NPI #1326248964 in Lexington, Kentucky

Provider Information

NPI Number
1326248964
Entity Type
Individual
Name
MRS. Heather Nicole Dezarn
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jul 23, 2007
Last Updated
Jul 23, 2007

Practice Location

Address
3538 GREENTREE RD
ZIP Code
40517-3115
Phone
(859) 475-3580

Specialties & Taxonomy Codes

Specialty
Contractor

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