Alison Licquia, | |
6818 W Kennewick Ave, Suite C, Kennewick, WA 99336-1728 | |
(509) 736-0923 | |
Not Available |
Full Name | Alison Licquia |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 16 Years |
Location | 6818 W Kennewick Ave, Kennewick, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700242674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DIET.DI.60615319 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rtp Healthy Wellness Pllc | 0840588067 | 9 |
Provider Name | Rtp Healthy Wellness Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699029074 PECOS PAC ID: 0840588067 Enrollment ID: O20161004001027 |
Mailing Address | Practice Location Address |
---|---|
Alison Licquia, 6818 W Kennewick Ave, Suite C, Kennewick, WA 99336-1728 Ph: () - | Alison Licquia, 6818 W Kennewick Ave, Suite C, Kennewick, WA 99336-1728 Ph: (509) 736-0923 |
Kristin Koskinen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 102411 Kash Loop, Kennewick, WA 99338 Phone: 509-205-0160 | |
Malvina Ann Goodwin, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7102 W Okanogan Place, Kennewick, WA 99336 Phone: 509-460-4246 Fax: 509-585-1525 | |
Samantha Kester, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3810 Plaza Way, Kennewick, WA 99338 Phone: 509-221-5422 | |
Amy D Lindholm, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7102 W Okanogan Place, Kennewick, WA 99336 Phone: 509-460-4250 | |
Mrs. Nichole Dawn Giller, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 76501 E Timothy Lane, Kennewick, WA 99338 Phone: 425-829-8410 | |
Mr. Jacob James Volponi, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3730 Plaza Way, Kennewick, WA 99338 Phone: 509-221-5442 | |
Nancy Linville, R.D., C.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 W 8th Ave, Kennewick, WA 99336 Phone: 509-585-5935 Fax: 509-586-5140 |