RICARDO LICONA

SAN DIEGO, CA
NPI1346060506
Other NameRICKY LICONA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
RICARDO LICONA RD
3984 EPSILON ST
SAN DIEGO, CA 92113-4222
Phone number: 858-301-4946
Mailing Address
RICARDO LICONA RD
3984 EPSILON ST
SAN DIEGO, CA 92113-4222
Phone number: 858-301-4946