Individual
MS. JILL HECKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7991
Mailing address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7991
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005556
MD
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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