Individual
HEATHER ANN DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1411
(818) 996-1100
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
12345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
CA
01
—
NA
NA
CA
Enumeration date
09/11/2018
Last updated
09/11/2018
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