Individual
AMINA MICHELLE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8110 BIRMINGHAM WAY BLDG 28, 2ND FLOOR, SAN DIEGO, CA 92123-2758
(858) 966-4003
(858) 560-6798
Mailing address
3860 CALLE FORTUNADA, STE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP18674
CA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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