Individual
MS. JANE ELIZABETH HEETDERKS-COX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5955 ZEAMER AVE, 3 MDG/SGSD, ELMENDORF AFB, AK 99506-3702
(907) 580-6210
Mailing address
19932 DRIFTWOOD BAY DR, EAGLE RIVER, AK 99577-8842
(907) 580-6210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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