Individual
MINETTE SUE RIDENOUR HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673D MDG, 5955 ZEAMER AVENUE, ANCHORAGE, AK 99506
(907) 580-4314
Mailing address
5955 ZEAMER AVE, ANCHORAGE, AK 99506-3702
(907) 508-4314
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
04/01/2014
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