Individual
TAMMY LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Mailing address
1120 E 34TH ST, HIBBING, MN 55746-2909
(218) 362-7100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3373
MN
Other
Enumeration date
08/13/2010
Last updated
07/21/2022
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