Individual
MRS. HEATHER BACKER VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
24411 HEALTH CENTER DR, SUITE 200, LAGUNA HILLS, CA 92653-3651
(949) 829-5522
Mailing address
26 FELDSPAR WAY, RANCHO SANTA MARGARITA, CA 92688-3519
(949) 713-4413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
913053
CA
Other
Enumeration date
06/08/2007
Last updated
10/03/2008
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