Individual
HEIDI ALDEA NORIESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7821 ENGLISH RD, VACAVILLE, CA 95688
(707) 317-3142
Mailing address
1619 HENRY ST, FAIRFIELD, CA 94533-6407
(707) 639-6658
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705495
CA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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