Individual
HEATHER VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LLUMC, HOUSE STAFF OFFICE CP 21005,, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LLUMC, HOUSE STAFF OFFICE CP 21005,, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208000000X
CA
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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