Individual
LOUELLA MARIE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 KOTNUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2162
Mailing address
1270 KOTNUM ROAD, PO BOX 1209, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2162
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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