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Heidi Vassallo, CPHT

NPI 1154422145 · on the registry since 2006 · sole proprietor

Practice

Address
1436 S 6th St
Macclenny, FL 32063
Phone
(904) 259-5824
Fax
(904) 259-5275
Organisation at this address
Susan Dubose
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida