Individual
SUANNE FAITH SIKKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.N.S.
Contact information
Practice address
610 W 2ND AVE, SUITE 100, ANCHORAGE, AK 99501-2151
(907) 830-9877
Mailing address
PO BOX 91014, ANCHORAGE, AK 99509-1014
(907) 830-9877
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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