Individual
JAQUELINE PATRICIA HEPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2535 CAMINO DEL RIO S STE 155, SAN DIEGO, CA 92108-3762
(800) 273-4292
(714) 596-6274
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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