Individual
MR. ISAAC L HICKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
713 E. BASIN ROAD E-123, WILLIAM PENN HS WELLNESS CENTER, NEW CASTLE, DE 19720
(302) 423-9035
Mailing address
186 MADISON DR, NEWARK, DE 19711-4406
(302) 423-9035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000398
DE
Other
Enumeration date
09/30/2010
Last updated
10/25/2010
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