Courtney Rae Heine, RD, LD, CMHIMP

NPI #1407313406 in Sullivan, Missouri

Provider Information

NPI Number
1407313406
Entity Type
Individual
Name
Courtney Rae Heine, RD, LD, CMHIMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD, CMHIMP
Enumeration Date
Feb 26, 2019
Last Updated
Feb 26, 2019

Practice Location

Address
884 ACID MINE RD
ZIP Code
63080-2695
Phone
(573) 619-5188

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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