Individual
MARIELLE HALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N BLUE JAY DR, LIBERTY, MO 64068-1906
(515) 695-3779
Mailing address
9928 N RICHMOND AVE, KANSAS CITY, MO 64157-9502
(763) 486-8198
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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