Individual
JANICE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12242 MOFFAT RD, TEMPLE, TX 76502-6913
(254) 290-0117
Mailing address
12242 MOFFAT RD, TEMPLE, TX 76502-6913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
567875
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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