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Individual

HEATHER ELAINE NEEDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70240
CA
208000000X
Pediatrics Physician
L9389
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8C1386
TX
01
A70240
CA MED LICENSE
Enumeration date
10/17/2006
Last updated
11/12/2018
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