Individual
ALISON LICQUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 W KENNEWICK AVE, SUITE C, KENNEWICK, WA 99336-1728
(509) 736-0923
Mailing address
6818 W KENNEWICK AVE, SUITE C, KENNEWICK, WA 99336-1728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DIET.DI.60615319
WA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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