Most Relevant Information
Provider Data
| NPI Number: | 1003390402 |
| Provider Name: | HEDDY TRAC |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2018 |
| Last Updated: | 09/20/2018 |
Provider Practice Location
4867 W SUNSET BLVD
LOS ANGELES
CA
900275969
Practice Location Phone/Fax
| Phone: | 3237838320 |
| Fax: |
Provider Mailing Location
4867 W SUNSET BLVD
LOS ANGELES
CA
900275969
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |