Individual
SHANNON KATHLEEN HEINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, PCD, CLEC
Contact information
Practice address
323 E CHAPEL HILL ST, SUITE 378, DURHAM, NC 27702-2400
(919) 200-0478
Mailing address
PO BOX 378, DURHAM, NC 27702-0378
(919) 200-0478
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
06/12/2013
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