Individual ProviderClaire Karen HeatherlyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address9543 N Archie Ave, Fresno, CA 93720-1484(559) 558-7631PECOS EnrollmentBased on the most recent information from CMS, provider Claire Karen Heatherly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023796554Provider TypeIndividualFull NameHeatherly, Claire KarenGenderFemaleSole ProprietorNoEnumeration Date7/5/2023Last Updated7/5/2023Contact InformationPractice LocationPractice Address9543 N Archie Ave, Fresno, CA 93720-1484Phone(559) 558-7631FaxUnlisted FaxMailing LocationMailing Address9543 N Archie Ave, Fresno, CA 93720-1484Phone(559) 558-7631FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer