Individual
HEIDI NICANDRA GAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 429-9448
Mailing address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 429-9448
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
733143
CA
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
12/07/2020
Last updated
04/25/2023
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