Individual
KIRA PUHLSON HEARTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 982-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1069
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528306735
UNITED STATES ARMY
CA
Enumeration date
01/23/2013
Last updated
07/20/2020
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