Individual
MS. AMY MARIE ELSA HEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
Mailing address
4244 OCEAN BEACH HWY, APT. 210, LONGVIEW, WA 98632-4873
(360) 431-1124
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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