Individual
EMILY HEINBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1635 N MARTEL AVE APT 218, LOS ANGELES, CA 90046-3541
(570) 573-4164
Mailing address
1635 N MARTEL AVE APT 218, LOS ANGELES, CA 90046-3541
(570) 573-4164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86092162
PA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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