Individual
JENNIFER HEINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2557 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1020
(617) 744-9233
(617) 300-8910
Mailing address
41 HARRINGTON ST, WATERTOWN, MA 02472-1015
(917) 692-8270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1085992 RD#
RD
MA
Enumeration date
10/29/2013
Last updated
07/22/2022
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