Individual
MELISSA HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5945 BROCKTON AVE, RIVERSIDE, CA 92506-1800
(909) 816-0045
Mailing address
5945 BROCKTON AVE, RIVERSIDE, CA 92506-1800
(909) 816-0045
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2140
CA
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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