Individual
ANITA DOROTHY HEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3132 W MARCH LN, SUITE 5, STOCKTON, CA 95219-2354
(209) 475-5500
(209) 475-5515
Mailing address
3400 DATA DR, QUALITY DEPARTMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A117596
CA
Other
Enumeration date
06/24/2009
Last updated
05/12/2017
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