Individual
HEATHER LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
325 DOWNEY AVE, MODESTO, CA 95354-1203
(209) 818-8893
Mailing address
325 DOWNEY AVE, MODESTO, CA 95354-1203
(209) 818-8893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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