Individual
ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2286 FORK CREEK RD, SALUDA, NC 28773-8614
(828) 749-3799
Mailing address
2286 FORK CREEK RD, SALUDA, NC 28773-8614
(828) 749-3799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5167884
FL
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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