HEATHER LOGUE

HERRICK, IL
NPI1104676543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  L20014077)
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
HEATHER LOGUE PHDH
402 E SOUTH 1ST ST
HERRICK, IL 62431-1600
Phone number: 217-254-2816
Mailing Address
HEATHER LOGUE PHDH
402 E SOUTH 1ST ST
HERRICK, IL 62431-1600
Phone number: 217-254-2816