HEATHER LYNNE EISENHARDT

SAN DIEGO, CA
NPI1811264278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-11-29
Last Update Date2011-12-06
Business Address
-- HEATHER LYNNE EISENHARDT IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-992-6398
Mailing Address
-- HEATHER LYNNE EISENHARDT IDC
15650 STATE ROUTE 119 E
ANNA, OH 45302-9705
Phone number: 619-992-6398