Individual
MRS. MARLENE ELAINE HEUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 CASTRO DR, SAN JOSE, CA 95130-1713
(408) 378-1909
Mailing address
1836 CASTRO DR, SAN JOSE, CA 95130-1713
(408) 378-1909
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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