Individual
HEYDI NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 LONG BEACH BLVD, SOUTH GATE, CA 90280-4679
(323) 567-9782
Mailing address
9401 LONG BEACH BLVD, SOUTH GATE, CA 90280-4679
(323) 567-9782
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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