Search › California › 2255A2300X
Nicole Heimark, MS, LAT, ATC
NPI 1760971279 · on the registry since 2018 · sole proprietor
Practice
- Address
- 520445 San Juan Rd.
Camp Pendleton North, CA 92055 - Phone
- (262) 343-2197
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-12
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