Individual
HEATHER DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HOSPITAL RD, SONORA, CA 95370-5227
(209) 533-6245
Mailing address
2 S GREEN ST, SONORA, CA 95370-4618
(209) 533-6245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
662432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
662432
—
CA
Enumeration date
10/16/2023
Last updated
10/16/2023
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