Individual
HEATHER MACBRAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6215 FERAL AVE, AGOURA HILLS, CA 91301-1756
(818) 540-8269
Mailing address
6215 FERAL AVE, AGOURA HILLS, CA 91301-1756
(818) 540-8269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RD972811
CA
Other
Enumeration date
01/29/2010
Last updated
01/26/2015
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