Individual
LIA MARIE FRICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
815 WATER ST APT B1709, TAMPA, FL 33602-5412
(816) 510-3996
Mailing address
815 WATER ST APT B1709, TAMPA, FL 33602-5412
(816) 510-3996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND14108
FL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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