Individual
MRS. HEATHER A HANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Contact information
Practice address
414 TENNESSEE ST STE U, REDLANDS, CA 92373-8159
(909) 839-3840
Mailing address
PO BOX 1789, CRESTLINE, CA 92325-1789
(909) 838-3840
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
560
CA
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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