Individual
CAITLYN HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18330 N 79TH AVENUE, APARTMENT 1070, GLENDALE, AZ 85308
(951) 235-1187
Mailing address
18330 N 79TH AVENUE, APARTMENT 1070, GLENDALE, AZ 85308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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