Individual
MRS. HEATHER MARIE NUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 TAMPICO, SUITE 200, WALNUT CREEK, CA 94598-2998
(925) 838-4900
(925) 838-4920
Mailing address
600 SAN RAMON VALLEY BLVD, SUITE 102, DANVILLE, CA 94526-4014
(925) 838-4900
(925) 838-4920
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
PA18334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18334
LICENSE NUMBER
CA
Enumeration date
08/30/2006
Last updated
11/14/2011
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