Search › California › 251E00000X
Makereta Heresford
NPI 1518730555 · on the registry since 2023 · sole proprietor
Practice
- Address
- 78 Carleton Dr
Petaluma, CA 94952 - Phone
- (707) 774-9186
- Organisation at this address
- Loyal Fijian, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-01
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 California