Individual
HEATHER MARY PREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHSC, RD, LD
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
(907) 486-9546
Mailing address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
(907) 486-9546
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
21
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21
ALASKA STATE LICENSE
AK
05
—
DT0682
—
AK
Enumeration date
08/30/2006
Last updated
07/09/2007
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