Individual
MISS STACEY HICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2221 STOCKTON BLVD, SUITE B, SACRAMENTO, CA 95817-1418
(916) 734-6528
Mailing address
4851 KOKOMO DR, #7324, SACRAMENTO, CA 95835-1840
(916) 470-9715
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
881956
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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