Tina Lisa Heck PA-C

NPI 1003048620 - Physician Assistant - 363A00000X

NPI Details
NPI 1003048620
Gender Female
Enumeration Date 08/14/2009
Last Updated 06/11/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
77 CASA ST STE 201
SAN LUIS OBISPO CA, 93405-5806, US
Phone (805) 269-1500
Business Location
SANTA MARIA CA, 93458-7310, US
Phone (805) 361-8028
Taxonomy Code 363A00000X
License State California
License Number PA20461
Remove 1003048620 NPI Number

According to our database, Mrs. Tina Lisa Heck PA-C NPI is 1003048620, taxonomy code is 363A00000X and license number is PA20461, license state is located at California. Tina Lisa Heck PA-C physically located at 77 Casa St Ste 201, San Luis Obispo CA, 93405-5806. NPI Number Tina Lisa Heck PA-C has the Individual type.

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1003048620 NPI number is provided on an as is basis without warranty of any kind. 1003048620 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Lisa Heck PA-C are for informational purposes only.