Heather Kathleen Sisk, Anaplastologist
Anaplastologist in Boca Raton, FL. Individual provider (NPI-1).
NPI number1891168431
StatusActive
Last updated in NPPESNov 4, 2015
Details
- NPI
- 1891168431
- Entity type
- Individual (NPI-1)
- Name
- Heather Kathleen Sisk
- Credential
- Anaplastologist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2015
- Last updated
- Nov 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 229N00000X | Anaplastologist | – | – | Yes |
Practice location
333 Camino Gardens BlvdBoca Raton, FL 33432-5824
Phone 917-561-0141
Mailing address
730 Pelham Rd Apt 5eNew Rochelle, NY 10805-1017
Phone 917-561-0141
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