Provider Demographics
NPI:1326364290
Name:GERMAIN, HEATHER (ND)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:GERMAIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 GEORGIA AVENUE
Mailing Address - Street 2:SUITE 816
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-589-0148
Mailing Address - Fax:301-589-0149
Practice Address - Street 1:8701 GEORGIA AVENUE
Practice Address - Street 2:SUITE 816
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-589-0148
Practice Address - Fax:301-589-0149
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0062413175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath