Individual
AMANDA GOOD HEINTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2210
Mailing address
336 BRANDYWINE DR, BEAR, DE 19701-3202
(508) 566-6958
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1052071
—
133V00000X
Registered Dietitian
ND 7683
FL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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