Individual
HEIDI ROSE FEARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2635 CAMINO DEL RIO S STE 200, SAN DIEGO, CA 92108-3728
(619) 818-4306
Mailing address
4630 MARLBOROUGH DR, SAN DIEGO, CA 92116-4711
(619) 820-3146
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12958
CA
Other
Enumeration date
09/01/2009
Last updated
01/31/2016
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