Individual
CARROLL-ANNE HEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 BROADWAY STE 43, OAKLAND, CA 94611-5730
(510) 752-1933
(510) 752-1571
Mailing address
3600 BROADWAY STE 43, OAKLAND, CA 94611-5730
(510) 752-1933
(510) 752-1571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17364
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/15/2015
Last updated
10/17/2019
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