Individual
BETH MARIE HEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1107 COLLEGE AVE, QUINCY, IL 62301-2600
(217) 214-5800
Mailing address
1107 COLLEGE AVE, QUINCY, IL 62301-2600
(217) 214-5800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
10/11/2024
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