Individual
NICOLE ELIZABETH HEIMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
520445 SAN JUAN RD., CAMP PENDLETON NORTH, CA 92055
(262) 343-2197
Mailing address
1333 N SANTA FE AVE APT 223, VISTA, CA 92084-3766
(262) 343-2197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003249A
IN
2255A2300X
Athletic Trainer
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Other
Enumeration date
05/09/2018
Last updated
08/12/2021
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