Individual
MISS BRITTANY MICHELE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 W BROOK RIDGE ST, SPRINGFIELD, MO 65803-8086
(417) 718-6352
Mailing address
2445 W BROOK RIDGE ST, SPRINGFIELD, MO 65803-8086
(417) 718-6352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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