Individual
MRS. HEATHER D MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
113 HILTON HEAD DR, BENTON, LA 71006-8425
(972) 672-6392
Mailing address
113 HILTON HEAD DR, BENTON, LA 71006-8425
(726) 726-3929
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2612
LA
133V00000X
Registered Dietitian
DT80341
TX
Other
Enumeration date
07/01/2008
Last updated
11/14/2022
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