Individual
GABRIELA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 IONIA AVE SW APT 213, GRAND RAPIDS, MI 49503-5120
(231) 838-9494
Mailing address
121 IONIA AVE SW APT 213, GRAND RAPIDS, MI 49503-5120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704403370
MI
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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