Individual
TAMESHIA I HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8036 PHILIPS HWY STE 4, JACKSONVILLE, FL 32256-7466
(904) 233-5471
Mailing address
1743 CAVALCADE CT, JACKSONVILLE, FL 32218-6227
(904) 233-5471
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1185672
FL
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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