Individual
MRS. LORETTA CHARLENE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/MSN/PNP/FNP
Contact information
Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
308931
CA
Other
Enumeration date
07/12/2006
Last updated
08/02/2007
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