Individual
MR. LAMONT TERRANCE HICKS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5362 MONROE ST, DEARBORN HEIGHTS, MI 48125-2527
(734) 882-0937
Mailing address
5362 MONROE ST, DEARBORN HEIGHTS, MI 48125-2527
(734) 882-0937
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5416303
MI
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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