MRS. Tina Lisa Heck, PA-C

NPI #1003048620 in San Luis Obispo, California

Provider Information

NPI Number: 1003048620
Entity Type: Individual
Name: MRS. Tina Lisa Heck, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 14, 2009
Last Updated: Jun 11, 2015

Practice Location

Address: 77 CASA ST STE 201
City: San Luis Obispo
State: California
ZIP Code: 93405-5806
Phone: (805) 269-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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