Individual
HEATHER MICHELLE ENGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1615 PICCARD DR STE B, ROCKVILLE, MD 20850-6719
(240) 449-3094
(240) 489-4415
Mailing address
10215 N 120TH EAST AVE, OWASSO, OK 74055-2698
(405) 742-7230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1419
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1419
OKLAHOMA LICENSE
OK
Enumeration date
04/19/2021
Last updated
04/19/2021
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