Healthcare Provider Details

I. General information

NPI: 1265267447
Provider Name (Legal Business Name): CALI DENAE HINIKER RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 N HERON PL
HANFORD CA
93230-1684
US

IV. Provider business mailing address

2099 N HERON PL
HANFORD CA
93230-1684
US

V. Phone/Fax

Practice location:
  • Phone: 206-455-1905
  • Fax:
Mailing address:
  • Phone: 206-455-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86291844
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: