Individual
HEIDI COSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8070
(707) 438-2500
Mailing address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8070
(707) 438-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95264793
CA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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