Individual
ANASTASIA SERGEEVNA HEINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 YAKIMA AVE, STE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Mailing address
1708 YAKIMA AVE, STE 105, TACOMA, WA 98405-5307
(253) 426-4420
(253) 426-4383
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60351859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0312567
L&I
WA
01
—
G8920923
MEDICARE
WA
Enumeration date
06/03/2013
Last updated
09/18/2013
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