Heather L Weidle

NPI #1073224853 in Sacramento, California

Provider Information

NPI Number: 1073224853
Entity Type: Individual
Name: Heather L Weidle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mastectomy Fitter
Enumeration Date: Dec 12, 2022
Last Updated: Dec 12, 2022

Practice Location

Address: 4811 CHIPPENDALE DR STE 208
City: Sacramento
State: California
ZIP Code: 95841-2551
Phone: (916) 261-1352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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