Organization
BAMR BANDS
Active
Other names
BAMR Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ANNE HEDDLESTON RD (REGISTERED DIETITIAN / OWNER)
(814) 931-9961
Entity
Organization
Contact information
Practice address
812 WOODFIELD TER NE, LEESBURG, VA 20176-6674
(814) 931-9961
Mailing address
812 WOODFIELD TER NE, LEESBURG, VA 20176-6674
(814) 931-9961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
995420
VA
Other
Enumeration date
01/26/2016
Last updated
06/27/2016
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