Heather Black

NPI #1740828961 in Pedro, Ohio

Provider Information

NPI Number
1740828961
Entity Type
Individual
Name
Heather Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 18, 2019
Last Updated
Dec 18, 2019

Practice Location

Address
115 PRIVATE ROAD 977
City
Pedro
State
Ohio
ZIP Code
45659-8608
Phone
(740) 534-1386

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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