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Organization
HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC
Active
Organization
HEATHER REYMUNDE WITTMER, REGISTERED DIETITIAN NUTRITIONIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER REYMUNDE WITTMER MS RDN LDN (CEO/REGISTERED DIETITIAN)
(570) 709-5909
Entity
Organization
Contact information
Practice address
359 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1984
(570) 709-5909
(866) 839-4061
Mailing address
63 ALEKSANDER BLVD, MOUNTAIN TOP, PA 18707-9236
(570) 709-5909
(866) 839-4061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609488659
INDIVIDUAL NPI
PA
01
—
86104089
CDR REGISTRATION #
PA
01
—
DN007247
LICENSURE
PA
Enumeration date
10/25/2022
Last updated
10/25/2022
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