Individual
CONNIE ELICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
4193 FLAT ROCK DRIVE SUITE 200 OFFICE #465, RIVERSIDE, CA 92505
(951) 223-1841
Mailing address
4193 FLAT ROCK DRIVE SUITE 200, OFFICE #465, RIVERSIDE, CA 92505
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
12/11/2021
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