Individual
CHANA HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6110 MAIN ST STE B, ZACHARY, LA 70791-4079
(225) 658-4070
Mailing address
1001 MAIN ST, BUFFALO, NY 14203-1009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
333683
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2019
Last updated
09/29/2022
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