Individual
CHRISTINE LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5917
Mailing address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5917
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
669226
MI
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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