Individual
TERESA ANNE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
95
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT0095
—
AK
Enumeration date
06/29/2006
Last updated
07/08/2007
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