Individual
ANDREA A HEITMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, CCM
Contact information
Practice address
6015 BLACKBIRD CT, SAN JOSE, CA 95120-3807
(408) 375-6104
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323-2800
(408) 375-6104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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