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Individual

MRS. HEATHER NICOLE RICKETTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
27905 COMMERCIAL PARK RD STE 240, TOMBALL, TX 77375-6580
(713) 955-2123
Mailing address
1310 APPLEBY AVE, BALTIMORE, MD 21209-3720
(512) 627-8398

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1031833
133V00000X
Registered Dietitian
DT81765
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1031833
COMMISSION ON DIETETIC REGISTRATION
01
DT81765
TEXAS DEPARTMENT OF LICENSING AND REGISTRATION
TX
Enumeration date
05/11/2022
Last updated
05/11/2022
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