Individual
MARILYN MARIE HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18381 S AVE 3 1/2 E, YUMA, AZ 85365-4725
(928) 259-4638
Mailing address
18381 S AVE 3 1/2 E, YUMA, AZ 85365-4725
(928) 259-4638
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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