Callie Hicks, RD

NPI #1376941641 in West Bend, Wisconsin

Provider Information

NPI Number: 1376941641
Entity Type: Individual
Name: Callie Hicks, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Dec 18, 2014
Last Updated: Dec 18, 2014

Practice Location

Address: 1700 PARADISE DR
City: West Bend
State: Wisconsin
ZIP Code: 53095-9000
Phone: (262) 334-3451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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