Individual
MRS. TRICIA AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1927 SUNNYSLOPE DRIVE, RACINE, WI 53406
(920) 787-8912
Mailing address
1927 N SUNNYSLOPE DR, MOUNT PLEASANT, WI 53406-7671
(920) 737-8912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2389-29
WI
Other
Enumeration date
05/24/2013
Last updated
07/30/2019
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