Individual
TAYLOR HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 SE 138TH CT, VANCOUVER, WA 98683-7148
(360) 975-2553
Mailing address
2013 SE 138TH CT, VANCOUVER, WA 98683-7148
(360) 975-2553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61221225
WA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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