Individual
HEATHER LYNN RUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 551-8587
Mailing address
11539 CANYON PARK DR, SANTEE, CA 92071-4741
(760) 238-3174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
777749
CA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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