Individual
HEATHER L MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR, OWNER
Contact information
Practice address
1910 S STAPLEY DR STE 221, MESA, AZ 85204-6680
(480) 573-2269
(480) 573-2169
Mailing address
10144 E CINTRON DR, MESA, AZ 85212-9579
(480) 276-9113
(480) 573-2169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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