Diana Heise's National Provider Identifier (NPI) Details
Diana Heise,
NPI: 1760858021
Enumeration Date: 2015-08-20
Last updated: 2015-08-20
Sole Proprietor: NO
Status: active
Postal Address: 3450 HIGHWAY 80 W, JACKSON, MS
Phone: 601-321-2497
Primary Practice Address: 3450 HIGHWAY 80 W, JACKSON, MS
Practice's phone: 601-321-2497