Individual
AMY HEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0003
(619) 594-6384
Mailing address
4778 KANSAS ST, SAN DIEGO, CA 92116-1513
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
475857
CA
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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