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Individual
HEATHER YOO
Active
Individual
HEATHER YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
PA51254
CA
363A00000X
Physician Assistant
Primary
PA-51254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750711487
—
CA
Enumeration date
11/15/2013
Last updated
07/09/2019
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