Editha P. Heberlein, M.S., R.D., FADA
NPI #1770577348 in Malmstrom Afb, Montana
Provider Information
- NPI Number
- 1770577348
- Entity Type
- Individual
- Name
- Editha P. Heberlein, M.S., R.D., FADA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- M.S., R.D., FADA
- Enumeration Date
- Sep 9, 2005
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 7300 N PERIMETER RD
- City
- Malmstrom Afb
- State
- Montana
- ZIP Code
- 59402-6701
- Phone
- (406) 731-3863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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