Individual
MS. NAN B HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
300 MARY ESTHER BLVD, MIRACLE-EAR AT SANTA ROSA MALL, MARY ESTHER, FL 32569-1693
(850) 243-3196
(850) 243-8294
Mailing address
662 HARBOR BLVD, STE 140, DESTIN, FL 32541-2473
(850) 243-3196
(850) 243-8294
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AS4856
FL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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