Individual
MR. MATT JAY HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 DOMINGUEZ RANCH RD, CORONA, CA 92882-7906
(909) 319-2515
(951) 736-9076
Mailing address
1450 DOMINGUEZ RANCH RD, CORONA, CA 92882-7906
(909) 319-2515
(951) 736-9076
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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