Individual
HEATHER VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 AMIGOS RD, RAMONA, CA 92065-5058
(858) 717-0981
Mailing address
528 AMIGOS RD, RAMONA, CA 92065-5058
(858) 717-0981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95083725
CA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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