Individual
SOPHIA HEITMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-8143
Mailing address
12 FOLLEN ST UNIT 1, BOSTON, MA 02116-6402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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