Individual
JOEANN JUDITH HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 CHESAPEAKE AVE, COLUMBUS, OH 43212-2151
(330) 881-1162
Mailing address
1492 CHESAPEAKE AVE, COLUMBUS, OH 43212-2151
(330) 881-1162
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402222381119
OH
Other
Enumeration date
06/05/2023
Last updated
06/07/2023
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