Individual
HEATHER SHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
902 SYCAMORE AVE, SUITE 201, VISTA, CA 92081-7879
(760) 940-0500
(760) 940-0570
Mailing address
180 WALNUT AVE # B, CARLSBAD, CA 92008-3146
(619) 885-8195
(760) 940-0570
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC31025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC31025
DC LIC NUMBER
CA
Enumeration date
10/01/2008
Last updated
10/01/2008
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