Individual
SUSAN LEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 ESTELLE DR, VANDALIA, OH 45377-1616
(937) 232-2371
Mailing address
703 ESTELLE DR, VANDALIA, OH 45377-1616
(937) 232-2371
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
RN206787
OH
Other
Enumeration date
05/06/2025
Last updated
05/28/2025
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