Individual
AMANDA JANETTE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6207
Mailing address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6207
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-135848
OK
Other
Enumeration date
12/27/2017
Last updated
03/17/2018
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