Individual
ANTHONY DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
444 ALPINE ST, LONGMONT, CO 80504-1510
(808) 551-3402
Mailing address
444 ALPINE ST, LONGMONT, CO 80504-1510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86038549
CO
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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