Individual
HEATHER MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(618) 604-6915
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
05/03/2022
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