Individual
MRS. HEATHER MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
333 CASA GRANDE RD, PETALUMA, CA 94954-5706
(707) 763-3385
Mailing address
333 CASA GRANDE RD, PETALUMA, CA 94954-5706
(707) 763-3385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089102441
CA
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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