Individual
MRS. HEATHER MICHELLE GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3420 S MERCY RD STE 312, GILBERT, AZ 85297-0425
(602) 770-7611
Mailing address
1111 W SUMMIT PL UNIT 14, CHANDLER, AZ 85224-1303
(602) 316-8452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86019917
AZ
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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