Individual
NICOLE HEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5245 E CARSON ST, LONG BEACH, CA 90808-1814
(562) 982-4018
Mailing address
12070 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3771
(562) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
09/02/2025
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