Individual
DR. CHERBRALE LANETTE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB 312, NEW BRUNSWICK, NJ 08901-1928
(816) 547-6223
Mailing address
102 ROYAL CT, SOMERSET, NJ 08873-4667
(816) 547-6223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08690800
NJ
Other
Enumeration date
12/28/2009
Last updated
03/15/2013
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