Individual
HEATHER C ACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
243 CURTISS RD, BARKSDALE AFB, LA 71110-2425
(509) 703-3609
Mailing address
4111 COURTLAND WAY, BENTON, LA 71006-9723
(509) 703-3609
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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