Individual
MS. HEATHER M. BORSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
932541
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37001553A
STATE CERTIFICATION NUMBE
IN
01
—
932541
LICENSE
IN
Enumeration date
12/05/2006
Last updated
10/19/2010
Update your record
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