Individual
CARLA SUE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5401 SW 29TH ST, OKLAHOMA CITY, OK 73179-7602
(405) 686-7828
Mailing address
5401 SW 29TH ST, OKLAHOMA CITY, OK 73179-7602
(405) 686-7828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0053807
OK
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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