Organization
HEIDI'S IMAGE ENHANCEMENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI WHITE OATIS CMF (OFFICE MANAGER/ LEA FITTER)
(510) 489-8400
Entity
Organization
Contact information
Practice address
2600 CENTRAL AVE, SUITE E, UNION CITY, CA 94587-3187
(510) 714-8392
Mailing address
32720 REGENTS BLVD, UNION CITY, CA 94587-5405
(510) 489-8400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
KK316787
CA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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