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Individual
RUTH ELLEN HICKMAN
Active
Individual
RUTH ELLEN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
501231
CA
363LF0000X
Family Nurse Practitioner
Primary
7055
CA
363LG0600X
Gerontology Nurse Practitioner
7055F
CA
Other
Enumeration date
12/09/2019
Last updated
12/15/2022
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