Individual
HEATHER A LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
471
WV
133V00000X
Registered Dietitian
LD.4294
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014834
—
WV
01
—
P00844132
MCR RR
WV
Enumeration date
10/23/2006
Last updated
05/26/2015
Update your record
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