MISS Heidi Raquel Childs
NPI #1104024868 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1104024868
- Entity Type
- Individual
- Name
- MISS Heidi Raquel Childs
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Jul 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 29903 SUNNY BEACH RD
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-4528
- Phone
- (218) 326-1485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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