Individual
SHACOYA BRANAY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9603 CUSTER RD APT 1626, PLANO, TX 75025-6519
(214) 404-0915
Mailing address
9603 CUSTER RD APT 1626, PLANO, TX 75025-6519
(214) 404-0915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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