Individual
MRS. PATRICIA K REDDICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
523071
AZ
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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