Provider Demographics
NPI:1336968650
Name:RICKMAN MCCALL, JULIE (RDN, IBCLC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:RICKMAN MCCALL
Suffix:
Gender:F
Credentials:RDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 W ALOE VERA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-8053
Mailing Address - Country:US
Mailing Address - Phone:602-538-0748
Mailing Address - Fax:
Practice Address - Street 1:1820 W ALOE VERA DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-8053
Practice Address - Country:US
Practice Address - Phone:602-538-0748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered