Individual
JOYANNE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 N RIVER RD, WATERFORD, WI 53185-5077
(414) 559-1036
Mailing address
2780 N RIVER RD, WATERFORD, WI 53185-5077
(414) 559-1036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153426-030
WI
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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