Individual
ZATIANA Z HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 715-5050
Mailing address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 715-5050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-LCYDZW
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/28/2020
Last updated
02/20/2024
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