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Individual

MS. MARLA KAREL HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
4135 54TH PL, SAN DIEGO, CA 92105-2303
(619) 825-5590
(619) 741-7053
Mailing address
8030 LA MESA BLVD # 143, LA MESA, CA 91941-6435
(619) 825-5590
(619) 741-7053

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
292568
CA
175L00000X
Homeopath
176B00000X
Midwife
Primary
LM 155
CA

Other

Enumeration date
04/04/2007
Last updated
01/14/2011
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