Individual
LINDA DIANE JICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3202
Mailing address
1701 ROBERTS LN, ABRAMS, WI 54101-9422
(920) 785-3760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2321-029
WI
Other
Enumeration date
11/29/2006
Last updated
01/14/2011
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