Individual
JANICE HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MCA410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN000021
LICENSE
PA
Enumeration date
03/05/2010
Last updated
03/05/2010
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