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Individual

CARLA R HEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
484 E CARMEL DR, SUITE 154, CARMEL, IN 46032-2812
(317) 753-5694
(866) 315-7638
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(144) 234-1344

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003355
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164003355
NUTRITIONAL DIETITIAN
IL
Enumeration date
02/07/2008
Last updated
04/19/2021
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