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NPI Code Detail

MEDICARE: MRS. HEIDI SARMENTO

MEDICARE:  MRS. HEIDI  SARMENTO
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
1167G00000XLicensed Psychiatric TechnicianPT31132CA

General Provider Information

NPI Number : 1689714628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI SARMENTO
Provider Business Mailing Address
First Line : 1303 STONEY CREEK RD
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-5185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1585 KANSAS AVE.
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401
Country : US
Telephone Number : 805-784-4614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. HEIDI SARMENTO ” Practice Location

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