Individual
HEATHER T COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 330-4315
Mailing address
PO BOX 60000, SAN FRANCISCO, CA 94160-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85210
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A85210
CA
Other
Enumeration date
10/03/2006
Last updated
10/13/2009
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