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Carole Heredia

NPI 1679120042 · on the registry since 2019 · sole proprietor

Practice

Address
112 Sunset St
Mount Vernon, OH 43050
Phone
(614) 741-6851

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio