| Doctor Name: | DANA MARIA HERAZO |
| NPI Number: | 1962530840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,LD,CDE |
| License Number: | LD 131 |
| Business Practice Address: | 251 N Bayou St Mobile, AL - 366035827 |
| Business Phone Number: | 2516908847 |
| Business Fax Number: | 2515442188 |
| Mailing Address: | 251 N Bayou St, MOBILE |
| State: | AL |
| Postal Code: | 366035827 |
| Phone Number: | 2516908847 |
| Fax Number: | 2515442188 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 05/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD 131 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |