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Heather Haithcock

NPI 1821863267 · on the registry since 2023 · sole proprietor

Practice

Address
1955 Rosemary Pl
Costa Mesa, CA 92627
Phone
(949) 300-5073

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-15

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