PRUDENCE TICKNOR, RD

RD

Registered Dietitian

NPI: 1174920821IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered DietitianPrimary

Dietitian, Registered

Code: 133V00000X

819773(NC)

CMS Specialties

PrimaryREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Education

OTHER

Class of 1997

Contact & Hours

Address: 1552 COFFEE RD, SUITE 200
MODESTO, CA 95355
Phone: (209) 248-7168

Quick Facts

NPI: 1174920821
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 29

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