HEATHER LYNN WIDELL

LACKLAND AFB, TX
NPI1902216377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2014-05-06
Last Update Date2024-12-18
Business Address
Miss HEATHER LYNN WIDELL PA-C
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236-5638
Phone number: 210-808-3415
Mailing Address
Miss HEATHER LYNN WIDELL PA-C
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 78236-5638
Phone number: 210-808-3415
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