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Individual

ROSCHELLE A HEUBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
878905
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
878905
COMM ON DIETETIC REGISTRA
MI
Enumeration date
04/07/2008
Last updated
06/03/2008
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