STACEY HICKEL

SACRAMENTO, CA
NPI1629250964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: CA  881956)
Enumeration Date2007-11-28
Last Update Date2007-11-28
Business Address
Miss STACEY HICKEL RD
2221 STOCKTON BLVD SUITE B
SACRAMENTO, CA 95817-1418
Phone number: 916-734-6528
Mailing Address
Miss STACEY HICKEL RD
4851 KOKOMO DR #7324
SACRAMENTO, CA 95835-1840
Phone number: 916-470-9715