Individual
CLINT M HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(800) 516-5315
(517) 787-7365
Mailing address
3900 N CAUSEWAY BLVD STE 625, METAIRIE, LA 70002-1771
(504) 262-9033
(504) 779-5568
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117257
LA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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