Individual
MARIA A HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 MARBLE ST, WINSTON SALEM, NC 27107-1415
(336) 624-1027
Mailing address
1660 MARBLE ST, WINSTON SALEM, NC 27107-1415
(336) 624-1027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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