Individual
EDILEUZA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
631 LINCOLN ST, WORCESTER, MA 01605-2010
(508) 852-1805
Mailing address
631 LINCOLN ST, WORCESTER, MA 01605-2010
(508) 852-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2277631
MA
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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