Provider Demographics
NPI:1457036865
Name:HEYMING, BIANCA
Entity Type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:
Last Name:HEYMING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 S BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2205
Mailing Address - Country:US
Mailing Address - Phone:760-731-9187
Mailing Address - Fax:
Practice Address - Street 1:1636 E MISSION RD
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-1730
Practice Address - Country:US
Practice Address - Phone:760-731-9187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education