Individual
JAIME E HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1040 REED AVE, SUITE 4, WYOMISSING, PA 19610-2029
(610) 898-7560
(610) 898-7561
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051869
PA
Other
Enumeration date
07/12/2005
Last updated
11/28/2018
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