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Individual

MS. DONNA MARIE HEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
126 AVOCADO AVE, STE 106, PERRIS, CA 92571-2605
(951) 943-7212
(951) 943-4938
Mailing address
4701 NEWVILLE PL, RIVERSIDE, CA 92509-4036
(951) 681-9442

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18756
CA

Other

Enumeration date
08/01/2007
Last updated
09/30/2015
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