BIANCA ROBERTA HERNDON

FORT CAMPBELL, KY
NPI1003864422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  66744)
Enumeration Date2006-05-05
Last Update Date2009-01-08
Business Address
BIANCA ROBERTA HERNDON LPN
BLDG 5979 DESERT STORM AVE LAPOINTE HEALTH CLINIC
FORT CAMPBELL, KY 42223-5349
Phone number: 270-956-0302
Mailing Address
BIANCA ROBERTA HERNDON LPN
BLDG 5979 DESERT STORM AVE LAPOINTE HEALTH CLINIC
FORT CAMPBELL, KY 42223-5349
Phone number: 270-956-0301
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