Organization
HEARTLAND NURSING GROUP, PC
Active
Other names
Aetheria Aesthetics & Wellness Nursing Group
Organization subpart
No
Provider details
NPI number
Authorized official
MA JINKY MALLORY RN (OWNER)
(442) 270-5333
Entity
Organization
Contact information
Practice address
901 N HERITAGE DR STE 103, RIDGECREST, CA 93555-5541
(442) 270-5333
Mailing address
435 TEPATITLAN CT, RIDGECREST, CA 93555-3164
(442) 270-5333
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
202C00000X
Independent Medical Examiner Physician
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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