Individual
MRS. JILL HEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2600 N WYATT DR, TUCSON, AZ 85712-6106
(520) 324-5437
Mailing address
2702 NORTH 3RD STREET, 4020, PHOENIX, AZ 85004-4608
(602) 323-3407
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86002710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756944
—
AZ
Enumeration date
11/15/2012
Last updated
02/12/2020
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