Individual
CRYSTAL MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-8023
(443) 777-7558
Mailing address
3598 2ND AVE, EDGEWATER, MD 21037-3520
(410) 212-6202
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R196128
MD
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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