Organization
CRYSTAL CLEAR NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL LYNN HEIN RD (OWNER/ REGISTERED DIETITIAN)
(315) 717-2202
Entity
Organization
Contact information
Practice address
420 E GERMAN ST STE 103A, HERKIMER, NY 13350-1042
(315) 717-2202
(800) 891-4959
Mailing address
420 E GERMAN ST STE 103A, HERKIMER, NY 13350-1042
(315) 717-2202
(800) 891-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0053821
NY
Other
Enumeration date
01/19/2015
Last updated
03/20/2015
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