Individual
MRS. MARY ANN HEERSCHAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
87 REEVES RD, MOUNT SOLON, VA 22843-2109
(540) 350-2095
Mailing address
87 REEVES RD, MOUNT SOLON, VA 22843-2109
(540) 350-2095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R530731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R530731
—
VA
Enumeration date
02/28/2011
Last updated
02/28/2011
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