Individual
SHANTI MARIE HEINDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SUNSET BLVD STE 140, ROCKLIN, CA 95765-5482
(916) 300-4042
Mailing address
2836 MCCARRAN LN, LINCOLN, CA 95648-9375
(916) 300-4042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-OAHQNF
CA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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