LUCAS JAMES HEILIGENBERG

MEDINA, OH
NPI1134906167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2023-09-13
Last Update Date2023-09-13
Business Address
LUCAS JAMES HEILIGENBERG
1156 BRANDYWINE DR
MEDINA, OH 44256-4102
Phone number: 330-553-4212
Mailing Address
LUCAS JAMES HEILIGENBERG
1156 BRANDYWINE DR
MEDINA, OH 44256-4102
Phone number: 330-553-4212