Provider / Organization | NPI | Date Certified |
---|---|---|
MICHELLE MARIE HIEBERT | 1306426622 | 2021-04-11 |
Michelle Marie Hiebert is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306426622. Registration indicates Michelle Marie Hiebert is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Michelle Marie Hiebert |
Practice Office Address | 11234 ANDERSON ST LOMA LINDA, CA US |
Practice Office Telephone | 9096515510 |
Mailing Address | 11234 ANDERSON STREET GME OFFICE WESTERLY, SUITE C LOMA LINDA, CA 923542804 US |
Business Telephone | 9096515510 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |