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HEATHER ANN ROBERTS CALZADA

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1356841506

Individual Registrant:
 HEATHER ANN ROBERTS CALZADA 
Gender: F
Sole Proprietor

Location and contact information for practice:
949 PALM AVE  IMPERIAL BEACH, CA 91932-1503 US
Tel: 619-429-3733  Fax: --

Contact information for business:
PO BOX 459  IMPERIAL BEACH, CA 91933-0459 US
Tel: 619-429-3733  Fax: --

Registration Information:
NPI: 1356841506
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95008590

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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