Individual
MRS. BEVERLY JANE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 COURT ST, HUNTSVILLE, TN 37756-1404
(423) 663-2445
(423) 663-9252
Mailing address
PO BOX 88, HUNTSVILLE, TN 37756-0088
(423) 663-2445
(423) 663-9252
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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