Individual
MS. RACHEL ELIZABETH HEINLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15190 SEGOVIA CT, SAN DIEGO, CA 92129-1219
(661) 378-2789
Mailing address
3601 DWIGHT ST, SAN DIEGO, CA 92104-4422
(760) 695-2987
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8364248
DRIVER LICENSE
CA
Enumeration date
02/04/2022
Last updated
02/04/2022
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