Individual
CLARE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 536-5000
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
962196
CERTIFICATION
CA
Enumeration date
01/31/2007
Last updated
10/14/2008
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