KRISTEN ANNE TICE

COLUMBIA, SC
NPI1609124023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MD  1004747)
Enumeration Date2012-08-15
Last Update Date2012-08-15
Business Address
-- KRISTEN ANNE TICE MS, RD, LD
1029 DEERWOOD STREET
COLUMBIA, SC 29205
Phone number: 301-471-2281
Mailing Address
-- KRISTEN ANNE TICE MS, RD, LD
1029 DEERWOOD STREET
COLUMBIA, SC 29205
Phone number: 301-471-2281
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