Individual
MARY HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
3031 NEW BERN AVE STE 102, RALEIGH, NC 27610-2989
(919) 231-3132
Mailing address
3031 NEW BERN AVE STE 102, RALEIGH, NC 27610-2989
(919) 231-3132
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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