Individual
DR. HEATHER TYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, DACM
Contact information
Practice address
11169 PEGASUS AVE, SAN DIEGO, CA 92126-4717
(858) 522-9546
Mailing address
11169 PEGASUS AVE, SAN DIEGO, CA 92126-4717
(973) 862-3046
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1251
CA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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