Individual
HEATHER LEANN FORTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1720 HOLLAND ST, ERIE, PA 16503-1808
(814) 453-5747
Mailing address
411 KELSO DR LOT 3, ERIE, PA 16505-1978
(814) 746-8921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007688
PA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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