Heidi's Image Enhancement Clinic

NPI 1023251691 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1023251691
Enumeration Date 04/13/2009
Last Updated 04/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name HEIDI WHITE HEIDI
Position OFFICE MANAGER/ LEA FITTER
Phone (510) 714-8392
Fax
Practice Location
2600 CENTRAL AVE
SUITE E
UNION CITY CA, 94587-3187, US
Phone (510) 714-8392
Fax
Business Location
32720 REGENTS BLVD
UNION CITY CA, 94587-5405, US
Phone (510) 489-8400
Fax
Toxanomy
Taxonomy Code 335E00000X
License State California
License Number KK316787
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According to our database, Heidi's Image Enhancement Clinic NPI is 1023251691, taxonomy code is 335E00000X and license number is KK316787, license state is located at California. Heidi's Image Enhancement Clinic physically located at 2600 Central Ave, Union City CA, 94587-3187. NPI Number 1033115704 has the healthcare provider type.

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1023251691 NPI number is provided on an as is basis without warranty of any kind. 1023251691 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi's Image Enhancement Clinic are for informational purposes only.