Individual
MS. HEATHER MARIE ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD 960320
Contact information
Practice address
20325 N 51ST AVE, SUITE 166, GLENDALE, AZ 85308-5674
(602) 341-5248
Mailing address
4054 W BLACKHAWK DR, GLENDALE, AZ 85308-4751
(623) 734-2884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960320
AZ
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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