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Heather L Weidle
Mastectomy Fitter in Sacramento, California
NPI 1073224853

Heather L Weidle is a Mastectomy Fitter based in Sacramento, CA. Heather L Weidle practices in Sacramento, CA. The NPI Number for Heather L Weidle is 1073224853 and holds a License No. (California).

The current practice location address for Heather L Weidle is 4811 Chippendale Dr Ste 208, Sacramento, CA and can be reached out via phone at 916-261-1352.

Location: 4811 Chippendale Dr Ste 208, Sacramento, CA, 95841-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073224853
Provider Name
Heather L Weidle
Credential
Provider Entity Type
Individual
Gender
Female
Address
4811 Chippendale Dr Ste 208, Sacramento, CA, 95841-2551
Phone Number
916-261-1352
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C21462 01 CA BOC
institution
Provider Business Practice Location Address Details
Address
4811 Chippendale Dr Ste 208
City
Sacramento
State
California
Zip
95841-2551
Phone Number
916-261-1352
Fax Number
person
Provider Business Mailing Address Details
Address
4811 Chippendale Dr Ste 208
City
Sacramento
State
California
Zip
95841-2551
Phone Number
916-261-1352
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
(California)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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