Individual
HUGH JOSEPH HEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2037 SHADY OAK ST, MANTECA, CA 95336-5203
(510) 333-8009
Mailing address
2037 SHADY OAK ST, MANTECA, CA 95336-5203
(510) 333-8009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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