Individual
MARILYN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 WOOTEN LN, SULPHUR SPRINGS, TX 75482-8202
(903) 348-5342
Mailing address
65 WOOTEN LN, SULPHUR SPRINGS, TX 75482-8202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204710
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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