Individual
MRS. HEATHER LEIGH MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15030 DOGWOOD LN, CHINO HILLS, CA 91709-2735
(909) 606-3541
Mailing address
15030 DOGWOOD LN, CHINO HILLS, CA 91709-2735
(909) 606-3541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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