Individual
HEATHER ALISON HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-3480
Mailing address
3080 LA SELVA ST, SAN MATEO, CA 94403-2109
(650) 573-3480
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
698882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698882
—
CA
Enumeration date
07/24/2007
Last updated
07/24/2007
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