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Individual

CATHLENE MARIE HEIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, LAC

Contact information

Practice address
3930 PENDER DR, OPTIMAL HEALTH DIMENSIONS, FAIRFAX, VA 22030-0985
(703) 359-9300
Mailing address
3930 PENDER DR, OPTIMAL HEALTH DIMENSIONS, FAIRFAX, VA 22030-0985
(703) 359-9300

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000640
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024169462
VA

Other

Enumeration date
08/25/2009
Last updated
03/20/2017
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