Individual
MISS HEATHER ELIZABETH BOGETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
829 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2325
(616) 949-9944
Mailing address
14813 LAKESHORE DR, GRAND HAVEN, MI 49417-8636
(616) 402-4466
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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