Provider Information for 1134938178
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HEATHER LYNN HORNER
Sex: Female
NPI: 1134938178
Last Updated: 2025-01-03
Certification Date: 2025-01-03
Certification Date: 2025-01-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134938178 | ||||||||
| Enumeration Date | 2025-01-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 317 MARTIN LUTHER KING JR WAY TACOMA, WA 98405-4234 United States Phone: 253-403-1418 | Fax: | ||||||||
| Primary Practice Address | 317 MARTIN LUTHER KING JR WAY TACOMA, WA 98405-4234 United States Phone: 253-403-1418 | Fax: | ||||||||
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