Individual
MS. LESLIE WAYTE HEINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
220 EVANDALE RD, SCARSDALE, NY 10583-1530
(914) 806-0334
Mailing address
220 EVANDALE RD, SCARSDALE, NY 10583-1530
(914) 806-0334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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