Individual
SHERRELL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8892 HAPPY STREAM AVE, LAS VEGAS, NV 89143-4478
(702) 266-6413
Mailing address
8892 HAPPY STREAM AVE, LAS VEGAS, NV 89143-4478
(702) 266-6413
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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