Jonas Heisel

NPI #1154064541 in La Verne, California

Provider Information

NPI Number: 1154064541
Entity Type: Individual
Name: Jonas Heisel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 14, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 1950 3RD ST
City: La Verne
State: California
ZIP Code: 91750-4401
Phone: (909) 593-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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