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NPI Code Detail

MEDICARE: HEATHER GREGOIRE

MEDICARE: HEATHER GREGOIRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12279C0205XCritical Care Registered Respiratory Therapist

General Provider Information

NPI Number : 1083184824
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GREGOIRE
Provider Business Mailing Address
First Line : 2172 RIVER VISTA WAY
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6600 BRUCEVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4671
Country : US
Telephone Number : 916-688-6246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2018
Last Update Date : 12/04/2018

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Directions to “ HEATHER GREGOIRE ” Practice Location

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