Individual
CHRIS HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
464 S 7TH ST, SAN JOSE, CA 95112-3809
(408) 786-4755
Mailing address
464 S 7TH ST, SAN JOSE, CA 95112-3809
(408) 786-4755
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F7513753
CA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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