Individual
JENICA HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
(360) 306-8374
Mailing address
1300 MAHOGANY AVE APT 217, BELLINGHAM, WA 98226-8424
(435) 496-3662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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