Individual
MARY A HENCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MS, CDE
Contact information
Practice address
1250 E MARSHALL ST, PEDIATRICS, RICHMOND, VA 23298-5051
(804) 628-7337
(804) 628-0267
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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