Individual
IESHA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 1ST ST NW, WASHINGTON, DC 20001-1403
(202) 282-3004
Mailing address
901 1ST ST NW, WASHINGTON, DC 20001-1403
(202) 282-3004
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000811537
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0000811537
NURSING ASSISTANT
DC
Enumeration date
09/27/2018
Last updated
09/27/2018
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