Organization
THRIVE AT HOME NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HICKEY RDN (REGISTERED DIETITITAN)
(303) 435-3274
Entity
Organization
Contact information
Practice address
4035 MILANO LN, LONGMONT, CO 80503-8986
(303) 435-3274
Mailing address
4035 MILANO LN, LONGMONT, CO 80503-8986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
873000
CO
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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