Individual
MRS. HEATHER LYNN OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4591 GILA AVE APT 12, SAN DIEGO, CA 92117-3717
(619) 723-0633
Mailing address
4591 GILA AVE APT 12, SAN DIEGO, CA 92117-3717
(619) 723-0633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075988
CA
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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