Individual
MISS ELIZABETH MACKENZIE HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N QUINN ST APT 5, ARLINGTON, VA 22209-2928
(703) 424-1056
Mailing address
1410 N QUINN ST APT 5, ARLINGTON, VA 22209-2928
(703) 424-1056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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