Marla Heronema

NPI #1750160677 in Wichita, Kansas

Provider Information

NPI Number: 1750160677
Entity Type: Individual
Name: Marla Heronema
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 28, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 5550 E KELLOGG DR
City: Wichita
State: Kansas
ZIP Code: 67218
Phone: (316) 469-0688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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