Alicia Ritchey Higgason
Dietitian, Registered in Canyon Lake, CA. Individual provider (NPI-1).
NPI number1164094272
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1164094272
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alicia Ritchey Higgason
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Alicia Nicole Higgason (Former Name)
Practice location
30189 Longhorn DrCanyon Lake, CA 92587-7645
Phone 951-692-6805
Mailing address
30189 Longhorn DrCanyon Lake, CA 92587-7645
Phone 951-692-6805
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