Individual
HEATHER ELIZABETH PRECIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1802 4TH ST, SUITE C, LA GRANDE, OR 97850-2565
(541) 663-6290
Mailing address
1802 4TH ST, SUITE C, LA GRANDE, OR 97850-2565
(541) 663-6290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16086
OR
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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