Individual
MRS. HEIDI CARIN NIELSEN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(717) 245-4554
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(717) 245-4554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
724281
LICENSURE
GA
Enumeration date
12/29/2006
Last updated
07/08/2007
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